WorldWideScience

Sample records for access roads rehabilitation

  1. Armenia - Rural Road Rehabilitation

    Data.gov (United States)

    Millennium Challenge Corporation — The key research questions guiding our design of the RRRP evaluation are: • Did rehabilitating roads affect the quality of roads? • Did rehabilitating roads improve...

  2. Access to postacute rehabilitation.

    Science.gov (United States)

    Buntin, Melinda Beeuwkes

    2007-11-01

    Each year, more than 10 million Medicare beneficiaries are discharged from acute care hospitals into postacute care (PAC) settings, including inpatient rehabilitation facilities, skilled nursing facilities, and homes with services from home health agencies. These beneficiaries include very frail and vulnerable elders, many of whom have suffered from an acute event such as a stroke or a fall resulting in hip fracture, all of whom are judged unable to return to their homes without further care. Whether beneficiaries receive PAC and the type and intensity of care they receive is influenced not only by clinical factors, but by nonclinical factors including provider supply and financing, especially Medicare's methods of payment. This article provides a definition of PAC and discusses the wide cross-sectional variation in the use of postacute rehabilitation. It then discusses recent changes to PAC provider payment that have raised concerns about access to postacute rehabilitation, trends in the use of PAC, and what these trends imply about the appropriateness of PAC as it is now delivered. It concludes by identifying issues about the policy and research implications of recent developments and the PAC literature reviewed.

  3. Rehabilitation courses for road users.

    NARCIS (Netherlands)

    2010-01-01

    Rehabilitation courses are educational measures directed at deviant driving behaviour of car drivers. The Netherlands has four rehabilitation courses: EMA (Educational Measure Alcohol and traffic), LEMA (Lighter version of EMA), EMG (Educational Measure Behaviour and traffic) and ASP (Alcohol Interl

  4. Predatory Open Access in Rehabilitation.

    Science.gov (United States)

    Manca, Andrea; Martinez, Gianluca; Cugusi, Lucia; Dragone, Daniele; Mercuro, Giuseppe; Deriu, Franca

    2017-01-20

    Increasingly scholars and researchers are being solicited by predatory open access journals seeking manuscript submissions and abusing the author-pays model by charging authors with publishing fees without any or proper peer review. Such questionable editorial practices are threatening the reputation and credibility of scholarly publishing. To date, no investigation has been conducted on this phenomenon in the field of rehabilitation. This study attempts to identify specific predatory journals operating in this field to quantify the phenomenon and its geographic distribution. Beall's List has been used to this end which, although not perfect, is a comprehensive and up-to-date report of predatory publishers. Of the 1113 publishers on the list, 59 journals were identified, for a total of 5610 published articles. The median number of articles published by each journal was 21, and the median amount of article processing charges was $499. Only 1 out of 59 journals was included in the Directory of Open Access Journals, whereas 7 (12%) were indexed by PubMed. Most of the publishers were based in India (36%) followed by the United States (25%) and Pakistan (5%), and 25% were without a verifiable address. The data indicate that the threat of predatory publishing in rehabilitation is real. Physiatrists, physiotherapists, researchers, and academics operating in this field are advised to use the tools available to recognize predatory practices before considering publishing in open access journals.

  5. Curecanti-Blue Mesa-Salida 115-kV transmission lines access roads rehabilitation, maintenance, and construction project. Environmental Assessment

    Energy Technology Data Exchange (ETDEWEB)

    1993-07-01

    Western Area Power Administration (Western) is a power marketing agency of the US Department of Energy, with jurisdiction in 15 western states. The Salt Lake City Area (SLCA) of Western performs the agency`s mission in parts of Colorado, New Mexico, Texas, Utah, Arizona, Wyoming, and Nevada. As part of its mission, Western owns, operates, and maintains a system of transmission lines for transmitting bulk electrical energy from points of generation to and between delivery points. Part of that system in southwestern Colorado includes the Blue Mesa-Curecanti and Blue Mesa-Salida 115-kV transmission lines. Western proposes to conduct maintenance and improve its access roads for these two transmission lines. This paper discusses the impacts to the existing environment as well as the environmental consequences resulting from the maintenance and construction that is proposed.

  6. Roads Rehabilitation and Environment in Moldova: Some Legal and Normative Harmonization Aspects

    Directory of Open Access Journals (Sweden)

    Cocirta Petru

    2014-05-01

    Full Text Available This paper analyzes the environmental regulatory reforms of the Republic of Moldova to restore roads and problems over time. Goals and objectives are the analysis of the current situation on road rehabilitation and environmental assessments in this area, as well as issues that require in rehabilitation and maintenance of roads in the Republic of Moldova.Are described briefly: general aspects of road rehabilitation issues; legislation and environmental regulations in the road; differences between Moldova and procedures of the World Bank's environmental assessment in the construction and rehabilitation of roads; problem of national legislative and normative acts harmonization to international requirements.The paper discusses specific environmental to appear on completion of the rehabilitation of roads in the Republic of Moldova. In the final part of the paper presents the conclusions and some suggestions on how to facilitate the rehabilitation of roads in accordance with Agenda 21 of the country and European and international requirements.

  7. 25 CFR 170.121 - What is a cultural access road?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is a cultural access road? 170.121 Section 170.121... PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads § 170.121 What is a cultural access road? (a) A cultural access road is a public road that provides...

  8. Measuring the Impact of Road Rehabilitation on Spatial Market Efficiency in Maize Markets in Mozambique

    DEFF Research Database (Denmark)

    Cirera, Xavier; Arndt, Channing

    2008-01-01

    This article analyzes the impact of road rehabilitation on the spatial market efficiency of maize markets in Mozambique. We estimate a modified version of the Parity Bounds Model (PBM) that allows us to test the impact of road rehabilitation on spatial efficiency. This article seeks to contribute...

  9. 25 CFR 170.122 - Can a tribe close a cultural access road?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Can a tribe close a cultural access road? 170.122 Section... ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Use of Irr and Cultural Access Roads § 170.122 Can a tribe close a cultural access road? (a) A tribe with jurisdiction over a...

  10. Measuring the Impact of Road Rehabilitation on Spatial Market Efficiency in Maize Markets in Mozambique

    DEFF Research Database (Denmark)

    Cirera, Xavier; Arndt, Channing

    2008-01-01

    tend to decrease, and market pairs have tended to shift toward autarky regimes. Overall, while the results point broadly toward a positive impact of road rehabilitation on spatial efficiency, they are not as strong or as robust as one would like. Large increases in fuel prices likely offset......This article analyzes the impact of road rehabilitation on the spatial market efficiency of maize markets in Mozambique. We estimate a modified version of the Parity Bounds Model (PBM) that allows us to test the impact of road rehabilitation on spatial efficiency. This article seeks to contribute...... to the existing literature in three ways. First, a unique data set, where road rehabilitation episodes between market pairs are identified, is developed. Second, special care is devoted to estimation of transaction costs due to the sensitivity of the PBM model to the quality of transaction costs estimates...

  11. The Priority of Road Rehabilitation in Karanganyar Regency Using IRI Estimation from Roadroid

    Science.gov (United States)

    Achmadi, F.; Suprapto, M.; Setyawan, A.

    2017-02-01

    The IRI (International Roughness Index) is a road roughness index commonly obtained from measured longitudinal road profiles. This is one of the functional performance a surface of road pavement. Therefore, needs to be done evaluation and monitoring periodically to getting priority of road rehabilitation right on target. The IRI standard has commonly been used worldwide for evaluating road system. The Roadroid is an application to measure road quality with a website to view road quality. It is designed for Android smartphones, so we can easily measure and monitor the road and also use the camera for GPS-tagged photo. By using the built-in vibration sensor in smartphones, it is possible to collect IRI value which can be an indicator road conditions. This study attempts to explain the priority of road rehabilitation in Karanganyar Regency. The location of the study focused on a collector street (primary, secondary and locally road). The result of IRI estimation will be combined with other aspects that influences; land use, policy, the connectivity of road and traffic average daily. Based on IRI estimation using Roadroid, the road conditions in Karanganyar Regency can be described 59,60% were good (IRI12).

  12. Light roads : wood fibre and floating access roads aim at minimal ground disturbance

    Energy Technology Data Exchange (ETDEWEB)

    Chandler, G.

    2009-09-15

    Devon Canada has constructed an access road to a lease near Grande Prairie, Alberta using a floating mat made from a composite material. It was developed by Alberta-based Triple G Construction Ltd. which has handled wood harvesting and small oilfield contracting for almost 30 years. In the spring of 2008, Triple G recognized an opportunity to combine those two operations into a new service of building drivable wood fibre roads. Drivable wood fibre surfaces are made from surplus natural wood products, ideally from locally cleared rights-of-way. The wood is mulched into mixed chip sizes and spread over a separation material to create a road surface. Size mix is important because when they are compacted, the fibres mesh with each other and bind together for strength while allowing water to drain through. The roads eliminate the need for drainage ditching because they are built above ground level. A cloth type separation layer is used to prevent the mulch from getting mixed into the mud. Cost is a major advantage of wood fibre roads over matting. The reclamation cost of a wood fibre road is 10 per cent lower than that of a dirt road because the wood fibre can be picked up easily because of the separation layer, and the mulch can be reused. Currently, wood fibre roads are best for shorter term access-up to five years. But efforts are underway to make the routes permanent. Wood fibre roads aren't as effective over ground with high water content. ATR Manufacturing has therefore designed an all-terrain road-mat for access to muskeg areas. The road mat is made with a polypropylene honeycomb core bounded by layers of woven fibreglass-reinforced epoxy resin. The mat is lightweight, easy to install, and can float. The ATR mat is compliant to shear forces, bending rather than failing, yet rigid enough to support heavy equipment. 4 figs.

  13. Road Maintenance and Rehabilitation Program Using Functional and Structural Assessment

    Science.gov (United States)

    Setianingsih, A. I.; Sangaji, S.; Setyawan, A.

    2017-02-01

    Road sector development policy in Bangka Belitung emphasis on equitable development, which is opening up new areas for industrial development zones of potential marine and coastal tourism, so that having an impact on the budget priority to build a new road. This led to a minimal budget provided for the maintenance of the existing road. This study aimed to evaluate the condition of the pavement both functionally and structurally, the growth of traffic density and the availability of existing road maintenance costs. Then, to analyze the influence of existing road conditions, traffic density and road maintenance costs to the type of road maintenance management. The results are compared with the results of the existing maintenance conducted by the Public Works Department of Bangka Belitung province. Evaluation of pavement conditions consists of visual assessment of pavement condition using IRI, pavement condition assessment functionally with deflection method using test data tool Benkelman Beam (BB) and the actual traffic load. IRI value, deflections and traffic growth gained from years 2011-2015 subsequently created regression models to obtain the relationship and the correlation coefficient. The analysis showed that using the same relative magnitude of the budget from 2011 to 2015, giving priority to the maintenance of the road with good conditions capable of providing the road with a steady state of 100%. Recommendations can be given that maintain the road with good conditions reflecting that preservation provide maximum results with the more efficient maintenance cost.

  14. THE DURABILITY OF THE REHABILITATION OF RIGID ROAD STRUCTURES ACCORDING TO TRAFFIC VALUES

    Directory of Open Access Journals (Sweden)

    Gavris Ovidiu

    2012-05-01

    Full Text Available The article presents a comparative study of effort and strain state of a rigid road structure (concrete cement pavement, rehabilitated (reinforced in two ways: - full milling of the concrete slabs followed by a reinforcement with layers of crushed stone and asphalt concrete. - cracking the concrete slabs and covering them with layers of crushed stone and asphalt concrete. The purpose of this article is to present and compare the two modes of intervention on cement concrete road structures, so that the rehabilitated system will behave properly in service. This study also offers design engineers an image and potential solutions for intervention when dealing with these types of structures.

  15. Access to rehabilitation: patient perceptions of inequalities in access to specialty pain rehabilitation from a gender and intersectional perspective

    Directory of Open Access Journals (Sweden)

    Maria Wiklund

    2016-08-01

    Full Text Available Background: Long-term musculoskeletal pain is common, particularly among women. Pain conditions are a concern in primary health care, and people with severe and complex pain are referred to specialty health care. There is gender bias in access, counselling, assessment, and treatment of long-term pain. Objective: This study explores patient accounts and perceptions about important (social factors for accessing specialised pain rehabilitation from gender and intersectional equality perspectives. We aimed to identify potential biases and inequalities in accessing rehabilitation resources at a specialised rehabilitation clinic. Design: Individual semi-structured interviews were conducted with 10 adults after an assessment or completion of a specialised rehabilitation programme in northern Sweden. Qualitative content analysis was used to explore patients’ perceptions of important factors for accessing rehabilitation. Results: One main theme was formulated as Access to rehab – not a given. Three categories of perceived inequality were demonstrated: power of gender, power of social status, and power of diagnosis. Participants perceived rehabilitation as a resource that is not equally available, but dependent on factors such as gender, socio-economic status, ability to work, ethnicity, or age, and more subtle aspects of social status and habitus (e.g. appearance, fitness, and weight. The character of diagnosis received (medical versus psychiatric or social was also noted. Conclusions: It is crucial that professionals are aware of how potential inequalities related to gender, social status, and diagnosis, and their intersections, can be created, perceived, and have influence on the processes of assessment and treatment. Reduction of social determinants of health and biases remain important within global, national, and local contexts.

  16. Opportunities of forest roads usage as emergency access road for natural disaster

    Directory of Open Access Journals (Sweden)

    Can Vatandaşlar

    2016-07-01

    Full Text Available This study was carried out to examine the applicability of forest roads as emergency access and evacuation corridor for an alternative to motorways following a prospective earthquake in İstanbul. For this purpose, various disaster scenarios were created in the district of Beykoz and the shortest routes between critical points were determined through network analysis in Geographic Information System (GIS. Results indicated that access was possible between Beykoz city center and shelter, hospital, fire station, disaster management center, and military area via forest roads even if motorways became unusable. However, distance generally got longer and time of arrival increased on the routes of forest road. The increase in time of arrival was attributed to decrease in average cruising speed in addition to the increase in distance. This limitation can be overcome by enhancing the geometric standards of forest roads and completing superstructure operations. Results are important for revealing that forest roads can be used in other fields besides forestry activities, they can strengthen decision support system of managers, and enable first aid crew to reach the scene in the minimal time.

  17. Rehabilitation of a secondary network of forest traffic infrastructure (skid roads - skid trails

    Directory of Open Access Journals (Sweden)

    Bajrić Muhamed

    2015-01-01

    Full Text Available Forest transport infrastructure is the key segment of rational forest resource management. One of its constituent and inseparable segments are skid roads and skid trails whose network density significantly exceeds the primary network, i.e. truck roads. Skid road -skid trail network density in high economic forests of FB&H is most often between 40 and 100 m/ha. Simplified way of construction, non-existence of road construction, objects for surface water drainage as well as significant longitudinal inclination (up to 50% in which they are constructed, makes them subject to erosion processes. The lack of rehabilitation measures on skid roads - skid trails causes significant damages in post-exploitation period, and very often to the extent that the ones in the following exploitation round are unusable for skidding. Utilization of skid roads - skid trails damaged by erosion processes for forest operations often represents a significant expense. This paper considers rehabilitation measures efficient from the point of remedying erosion processes, and at the same time, acceptable from the point of financial expenditure for forest operations.

  18. Road and Street Centerlines, Surveyed Access Road, Published in 2007, 1:24000 (1in=2000ft) scale, Iron County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — , published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2007. It is described as 'Surveyed Access Road'. The extent of...

  19. Development Of Optimum Maintenance amp Rehabilitation Strategies For Urban Bituminous Concrete Surfaced Roads

    Directory of Open Access Journals (Sweden)

    Dr Pardeep Kumar Gupta

    2015-02-01

    Full Text Available ABSTRACT In India the road traffic volume has increased manifolds during the post-independence period. The traffic axle loading may also in many cases be much heavier than the specified limit. As a result of which the existing road network has been subjected to severe deterioration leading to premature failure of the pavements.In such a scenario development of the effective pavement management strategies would furnish useful information to ensure the compatible and cost- effective decisions so as to keep the existing road network intact. The pavement deterioration models can prove to be an effective tool which can assist highway agencies to forecast economic and technical outcome of possible investment decisions regarding maintenance management of pavements. The optimum maintenance and rehabilitation strategies developed in this study would be useful in planning pavement maintenance strategies in a scientific manner and ensuring rational utilization of limited maintenance funds. Once this strategy for urban road network is implemented and made operational this would serve as window to the other urban road network of different regions.

  20. The effect of agency budgets on minimizing greenhouse gas emissions from road rehabilitation policies

    Science.gov (United States)

    Reger, Darren; Madanat, Samer; Horvath, Arpad

    2015-11-01

    Transportation agencies are being urged to reduce their greenhouse gas (GHG) emissions. One possible solution within their scope is to alter their pavement management system to include environmental impacts. Managing pavement assets is important because poor road conditions lead to increased fuel consumption of vehicles. Rehabilitation activities improve pavement condition, but require materials and construction equipment, which produce GHG emissions as well. The agency’s role is to decide when to rehabilitate the road segments in the network. In previous work, we sought to minimize total societal costs (user and agency costs combined) subject to an emissions constraint for a road network, and demonstrated that there exists a range of potentially optimal solutions (a Pareto frontier) with tradeoffs between costs and GHG emissions. However, we did not account for the case where the available financial budget to the agency is binding. This letter considers an agency whose main goal is to reduce its carbon footprint while operating under a constrained financial budget. A Lagrangian dual solution methodology is applied, which selects the optimal timing and optimal action from a set of alternatives for each segment. This formulation quantifies GHG emission savings per additional dollar of agency budget spent, which can be used in a cap-and-trade system or to make budget decisions. We discuss the importance of communication between agencies and their legislature that sets the financial budgets to implement sustainable policies. We show that for a case study of Californian roads, it is optimal to apply frequent, thin overlays as opposed to the less frequent, thick overlays recommended in the literature if the objective is to minimize GHG emissions. A promising new technology, warm-mix asphalt, will have a negligible effect on reducing GHG emissions for road resurfacing under constrained budgets.

  1. 33 CFR 211.78 - Maintenance and conveyance of access roads.

    Science.gov (United States)

    2010-07-01

    ... Site Development and Use § 211.78 Maintenance and conveyance of access roads. The Government will not... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Maintenance and conveyance of access roads. 211.78 Section 211.78 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF...

  2. Road Maintenance Experience Using Polyurethane (PU) Foam Injection System and Geocrete Soil Stabilization as Ground Rehabilitation

    Science.gov (United States)

    Fakhar, A. M. M.; Asmaniza, A.

    2016-07-01

    There are many types of ground rehabilation and improvement that can be consider and implement in engineering construction works for soil improvement in order to prevent road profile deformation in later stage. However, when comes to road maintenance especially on operated expressways, not all method can be apply directly as it must comply to opreation's working window and lane closure basis. Key factors that considering ideal proposal for ground rehabilitation are time, cost, quality and most importantly practicality. It should provide long lifespan structure in order to reduce continuous cycle of maintenance. Thus, this paper will present two approaches for ground rehabilitation, namely Polyurethane (PU) Foam Injection System and Geocrete Soil Stabilization. The first approach is an injection system which consists two-parts chemical grout of Isocynate and Polyol when mixed together within soil structure through injection will polymerized with volume expansion. The strong expansion of grouting causes significant compression and compacting of the surrounding soil and subsequently improve ground properties and uplift sunken structure. The later is a cold in-place recyclying whereby mixture process that combines in-situ soil materials, cement, white powder (alkaline) additive and water to produce hard yet flexible and durable ground layer that act as solid foundation with improved bearing capacity. The improvement of the mechanical behaviour of soil through these two systems is investigated by an extensive testing programme which includes in-situ and laboratory test in determining properties such as strength, stiffness, compressibility, bearing capacity, differential settlement and etc.

  3. Sensitivity Analysis of an Optimal Access Road Location in HillyForest Area: A GIS Approach

    Directory of Open Access Journals (Sweden)

    Mohd I. Hasmadi

    2008-01-01

    Full Text Available There are various models for establishing the efficient forest road allocation and evaluating optimum density of forest roads network for the transport of timber commodity. Most of them are based on the calculation of common timber transport costs and costs for forest roads. Today, forest road design from traditional method continues to be transformed by remote sensing technology and advancement of GIS. It is now possible for a forester to analyze many different road location alternatives over a large geographic area in a minimal amount of time. A computer programming using GIS, digital terrain data and sensitivity analysis for locating optimal forest road access in a hill area is presented. The optimal access road location specifies destination (starting point and target (ending point of the desired path. These paths were allocated by calculated each individual criteria by given weights placed on each cell. Therefore, the objective of this work is to describe an attempt to compute the optimal allocation of forest road corridor in hilly area of Peninsular Malaysia using GIS approach and sensitivity analysis to satisfy the result. Finally, the model minimizes total cost of construction and forest environmental impacts resulting from a specific access road. Sensitivity analysis should be explored further to understand the effects of uncertainty in derivation of model parameter on model outputs. It is concluded that the location of optimal access path were established in the area can reduce the cost and environmental impact to the forest ecosystem.

  4. Advocacy and Accessibility Standards in the New "Code of Professional Ethics for Rehabilitation Counselors"

    Science.gov (United States)

    Waldmann, Ashley K.; Blackwell, Terry L.

    2010-01-01

    This article addresses the changes in the Commission on Rehabilitation Counselor Certification's 2010 "Code of Professional Ethics for Rehabilitation Counselors" as they relate to Section C: Advocacy and Accessibility. Ethical issues are identified and discussed in relation to advocacy skills and to advocacy with, and on behalf of, the client; to…

  5. On the golden road : Open access publishing in particle physics

    CERN Document Server

    CERN. Geneva

    2007-01-01

    The particle physics community has over the last 15 years achieved so-called full green open access through the wide dissemination ofpreprints via arXiv, a central subject repository managed by Cornell University. However, green open access does not alleviate the economical difficulties of libraries as these still are expected to offer access to versions of record of the peer-reviewed literature. For this reason the particle physics community is now addressing the issue of gold open access by converting a set of the existing core journals to open access. A working party works now to bring together funding agencies, laboratories and libraries into a single consortium, called SCOAP3 (Sponsoring Consortium for Open access Publishing in Particle Physics). This consortium will engage with publishers towards building a sustainable model for open access publishing. In this model, subscription fees from multiple institutions are replaced with contracts with publishers of open access journals where the SCOAP3 consort...

  6. On the golden road Open access publishing in particle physics

    CERN Document Server

    CERN. Geneva; Yeomans, Joanne

    2007-01-01

    The particle physics community has over the last 15 years achieved so-called full green open access through the wide dissemination ofpreprints via arXiv, a central subject repository managed by Cornell University. However, green open access does not alleviate the economical difficulties of libraries as these still are expected to offer access to versions of record of the peer-reviewed literature. For this reason the particle physics community is now addressing the issue of gold open access by converting a set of the existing core journals to open access. A working party works now to bring together funding agencies, laboratories and libraries into a single consortium, called SCOAP3 (Sponsoring Consortium for Open access Publishing in Particle Physics). This consortium will engage with publishers towards building a sustainable model for open access publishing. In this model, subscription fees from multiple institutions are replaced with contracts with publishers of open access journals where the SCOAP3 consorti...

  7. Rehabilitation

    Science.gov (United States)

    ... doing things you did before. This process is rehabilitation. Rehabilitation often focuses on Physical therapy to help your ... who has had a stroke may simply want rehabilitation to be able to dress or bathe without ...

  8. Environmental Assessment: Access Roads and An Associated Interior Road, Centennial Estates Lease, Ellsworth AFB, SD

    Science.gov (United States)

    2012-05-01

    United Stat115 Air Force Notice Of Availability Envlrqnmentol Assessment: Access Roods and on Associated Interior Rood , Centennial Estates Lease...conStruction Of off-base access roods and Interior roods to the former Ellsworth Air Force Bose !EAFB) miiHarv housing area linown as Centennial

  9. Spatial Impact of the Road Infrastructure Development in Romania. An Accessibility Approach

    Directory of Open Access Journals (Sweden)

    TITUS MAN

    2015-06-01

    Full Text Available This paper compares the spatial structure of accessibility in Romania before and after the implementation of some major national and/or European road infrastructure projects. This study suggests a new index for accessibility measurement by combining gravity-based models with Place Rank and adapting it to the Romanian system of settlements. Based on the GIS estimation of travel time, this index evaluates not only the geographical position of a specific community relative to the road network, but also the level of accessibility of rural and urban communities to the social services located in central places. The GIS-based maps indicate the existing disparities (between well-connected and isolated regions in terms of accessibility to the central places and the impact of new infrastructure projects on these disparities. The resulting maps can be used as efficient tools for transport planning and development at different scales (international, national, regional and local.

  10. 77 FR 5295 - Over-the-Road Bus Accessibility Program Announcement of Project Selections

    Science.gov (United States)

    2012-02-02

    ... by Section 3038 of the Transportation Equity Act for the 21st Century (TEA-21). The OTRB... FTA's Transportation Electronic Awards Management System (TEAM) for the projects identified in Tables... TRANSPORTATION Federal Transit Administration Over-the-Road Bus Accessibility Program Announcement of...

  11. Fast-Forward on the Green Road to Open Access: The Case Against Mixing Up Green and Gold

    OpenAIRE

    Harnad, Stevan

    2005-01-01

    This article is a critique of: "The 'Green' and 'Gold' Roads to Open Access: The Case for Mixing and Matching" by Jean-Claude Guedon (in Serials Review 30(4) 2004). Open Access (OA) means: free online access to all peer-reviewed journal articles. Jean-Claude Guedon argues against the efficacy of author self-archiving of peer-reviewed journal articles (the "Green" road to OA). He suggests instead that we should convert to Open Access Publishing (the "Golden" road to OA) by "mixing and matching...

  12. REDUCTION IN PROBABILITY OF TRAFFIC CONGESTION ON HIGH-CLASS ROAD USING RAMP ACCESS CONTROL

    Directory of Open Access Journals (Sweden)

    R. Yu. Lagerev

    2016-01-01

    Full Text Available Мerging traffic junctions on high-class roads are considered as bottlenecks in the network and quality of their operation determines a probability for formation of traffic congestions. Investigations on congestion situations in the merging zones of ramp and freeway traffic flows have demonstrated that queuing ramp traffic flow leads to formation of so called “turbulence” effect due to re-arrangement of transport facilities and reduction in their speed on main road direction. Having high queuing traffic flow on main road the “turbulence” component can result in formation of an impact blow in the main traffic flow. It has been proved that an impact of the ramp traffic flow on congestion probability is higher in comparison with main road traffic flow. The paper makes it possible to establish that some transport facilities moving along a high-way simul taneously occupy two lanes in the merging traffic zones and they reduce capacity of the used road section. It is necessary to take into account this specific feature and it is necessary to pay attention to it in the zones of “turbulence” effect formation. The paper presents main approaches, methodology, principles and stages required for access control of high-class roads which are directed on higher quality of their operation including improvement of road traffic safety. The paper proposes a methodоlogy that allows to evaluate and optimize ramp control in the context of a transport queue length minimization at adjoining ramps for the purposes of probability reduction in transport congestion.

  13. Roads

    Data.gov (United States)

    National Park Service, Department of the Interior — This dataset shows the roads within and near Delaware Water Gap NRA taken from 1:4800 scale mapping that was done for the original land acquisition period (1967)...

  14. Motorcycles entering from access points and merging with traffic on primary roads in Malaysia: behavioral and road environment influence on the occurrence of traffic conflicts.

    Science.gov (United States)

    Abdul Manan, Muhammad Marizwan

    2014-09-01

    This paper uses data from an observational study, conducted at access points in straight sections of primary roads in Malaysia in 2012, to investigate the effects of motorcyclists' behavior and road environment attributes on the occurrence of serious traffic conflicts involving motorcyclists entering primary roads via access points. In order to handle the unobserved heterogeneity in the small sample data size, this study applies mixed effects logistic regression with multilevel bootstrapping. Two statistically significant models (Model 2 and Model 3) are produced, with 2 levels of random effect parameters, i.e. motorcyclists' attributes and behavior at Level 1, and road environment attributes at Level 2. Among all the road environment attributes tested, the traffic volume and the speed limit are found to be statistically significant, only contributing to 26-29% of the variations affecting the traffic conflict outcome. The implication is that 71-74% of the unmeasured or undescribed attributes and behavior of motorcyclists still have an importance in predicting the outcome: a serious traffic conflict. As for the fixed effect parameters, both models show that the risk of motorcyclists being involved in a serious traffic conflict is 2-4 times more likely if they accept a shorter gap to a single approaching vehicle (time lag road from the access point. A road environment factor, such as a narrow lane (seen in Model 2), and a behavioral factor, such as stopping at the stop line (seen in Model 3), also influence the occurrence of a serious traffic conflict compared to those entering into a wider lane road and without stopping at the stop line, respectively. A discussion of the possible reasons for this seemingly strange result, including a recommendation for further research, concludes the paper.

  15. "Dance and go on": a project of psychosocial rehabilitation on the road.

    Science.gov (United States)

    Tavormina, Romina; Tavormina, Maurilio Giuseppe Maria; Nemoianni, Eugenio

    2015-09-01

    The project "Dance and go on" was created with the intention of bringing out of the Day Centre of the Department of Mental Health of Torre del Greco, the dance group "Dance That you go" active since 2009. Dancing Bachata becomes a rehabilitation tool to express emotions through the body and to open to the outside, on the territory (local society), overcoming the fear of being judged by others, the prejudice and the social stigma about mental illness. The rehabilitation activities of the dancing group allowed patients to improve their care of self, self-esteem, confidence in their capacities and an increase in their social relations. The strength and cohesion of the rehabilitation group has given to the patients the opportunity to believe in their own abilities, to accept themselves with their difficulties and to improve the relationship with their body in relation with each other.

  16. Accessing Inpatient Rehabilitation after Acute Severe Stroke: Age, Mobility, Prestroke Function and Hospital Unit Are Associated with Discharge to Inpatient Rehabilitation

    Science.gov (United States)

    Hakkennes, Sharon; Hill, Keith D.; Brock, Kim; Bernhardt, Julie; Churilov, Leonid

    2012-01-01

    The objective of this study was to identify the variables associated with discharge to inpatient rehabilitation following acute severe stroke and to determine whether hospital unit contributed to access. Five acute hospitals in Victoria, Australia participated in this study. Patients were eligible for inclusion if they had suffered an acute severe…

  17. RCRA Facility Investigation/Remedial Investigation Report for the Gunsite 113 Access Road Unit (631-24G) - March 1996

    Energy Technology Data Exchange (ETDEWEB)

    Palmer, E. [Westinghouse Savannah River Company, AIKEN, SC (United States)

    1996-03-01

    Gunsite 113 Access Road Unit is located in the northeast corner of SRS. In the mid 1980`s, sparse vegetation, dead trees, and small mounds of soil were discovered on a portion of the road leading to Gunsite 113. This area became the Gunsite 113 Access Road Unit (Gunsite 113). The unit appears to have been used as a spoil dirt and / or road construction debris disposal area. There is no documentation or record of any hazardous substance management, disposal, or any type of waste disposal at this unit. Based upon the available evidence, there are no potential contaminants of concern available for evaluation by a CERCLA baseline risk assessment. Therefore, there is no determinable health risk associated with Gunsite 113. In addition, it is also reasonable to conclude that, since contamination is below risk-based levels, the unit presents no significant ecological risk. It is recommended that no further remedial action be performed at this unit.

  18. Rehabilitering

    DEFF Research Database (Denmark)

    Hørdam, Britta

    2008-01-01

    En interviewundersøgelse af patienter, der får gennemført hofteoperation, en opgørelse af deres selvvurdere helbredsstatus med henblik på at tilrettelægge rehabilitering baseret på patienternes egne præmisser.......En interviewundersøgelse af patienter, der får gennemført hofteoperation, en opgørelse af deres selvvurdere helbredsstatus med henblik på at tilrettelægge rehabilitering baseret på patienternes egne præmisser....

  19. Rehabilitering

    DEFF Research Database (Denmark)

    Stokholm, Gitte; Jensen, Liselotte; Petersen, Charlotte

    Fokus på forståelse af rehabilitering som tværfaglig tilgang indrettet på borgerens præmisser. Der diskuteres faldgrupper og fortolkningsspørgsmål, der opstår, når man gerne vil handle politisk korrekt og lade de personer, det drejer sig om, komme til orde og få indflydelse. Emner er handicappoli...

  20. Asking new questions with old data: The Centralized Open-Access Rehabilitation database for Stroke (SCOAR.

    Directory of Open Access Journals (Sweden)

    Keith Lohse

    2016-09-01

    Full Text Available Background: This paper introduces a tool for streamlining data integration in rehabilitation science, the Centralized Open-Access Rehabilitation database for Stroke (SCOAR, which allows researchers to quickly visualize relationships among variables, efficiently share data, generate hypotheses, and enhance clinical trial design. Methods: Bibliographic databases were searched according to inclusion criteria leaving 2,892 titles that were further screened to 514 manuscripts to be screened by full text, leaving 215 randomized controlled trials in the database (489 independent groups representing 12,847 patients. Demographic, methodological, and statistical data were extracted by independent coders and entered into SCOAR. Results: Trial data came from 114 locations in 27 different countries and represented patients with a wide range of ages, 62 yr 41; 85, (shown as median range and at various stages of recovery following their stroke, 141 d 1; 3372. There was considerable variation in the dose of therapy that patients received, 20 h 0; 221, over interventions of different durations, 28 d 10; 365. There was also a lack of common data elements (CDEs across trials, but this lack of CDEs was most pronounced for baseline assessments of patient impairment and severity of stroke. Conclusions: Data integration across hundreds of RCTs allows clinicians and researchers to quickly visualize data from the history of the field and lays the foundation for making SCOAR a living database to which researchers can upload new data as trial results are published. SCOAR is a useful tool for clinicians and researchers that will facilitate data visualization, data sharing, the finding of relevant past studies, and the design of clinical trials by enabling more accurate and comprehensive power analyses. Furthermore, these data speak to the need for CDEs specific to stroke rehabilitation in randomized controlled trials.PROSPERO# CRD4201409010

  1. A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil.

    Science.gov (United States)

    Sousa, Kelienny de Meneses; Oliveira, Wagner Ivan Fonsêca de; Melo, Laiza Oliveira Mendes de; Alves, Emanuel Augusto; Piuvezam, Grasiela; Gama, Zenewton André da Silva

    2017-03-01

    Purpose To identify access barriers to physical rehabilitation for traffic accident (TA) victims with severe disability and build a theoretical model to provide guidance towards the improvement of these services. Methods Qualitative research carried out in the city of Natal (Northeast Brazil), with semi-structured interviews with 120 subjects (19 key informer health professionals and 101 TA victims) identified in a database made available by the emergency hospital. The interviews were analyzed using Alceste software, version 4.9. Results The main barriers present in the interviews were: (1) related to services: bureaucratic administrative practises, low offer of rehabilitation services, insufficient information on rehabilitation, lack of guidelines that integrate hospital and ambulatory care and (2) related to patients: financial difficulties, functional limitations, geographic distance, little information on health, association with low education levels and disbelief in the system and in rehabilitation. Conclusion The numerous access barriers were presented in a theoretical model with causes related to organizational structure, processes of care, professionals and patients. This model must be tested by health policy-makers and managers to improve the quality of physical rehabilitation and avoid unnecessary prolongation of the suffering and disability experienced by TA survivors. Implications for rehabilitation Traffic accidents (TAs) are a global health dilemma that demands integrality of preventive actions, pre-hospital and hospital care and physical rehabilitation (PR). This study lays the foundation for improving access to PR for TA survivors, an issue of quality of care that results in preventable disabilities. The words of the patients interviewed reveal the suffering of victims, which is often invisible to society and given low priority by health policies that relegate PR to a second plan ahead of prevention and urgent care. A theoretical model of the

  2. Rehabilitering

    DEFF Research Database (Denmark)

    Caswell, Dorte; Høybye-Mortensen, Matilde; Dall, Tanja

    2013-01-01

    Rehabilitering som både begreb og indsats har været genstand for stigende fokus i de seneste år, på både politisk, organisatorisk og praksis-niveau. Fra januar 2013 træder en større reform af førtidspension og fleksjob i kraft, og med reformen etableres ’rehabilitering’ som både mål og middel i...... beskæftigelsesindsatsen. Med dette temanummer af Social Politik ønsker vi at sætte fokus på rehabiliteringsbegrebets udbredelse og udfyldelse, og de konsekvenser de aktuelle social- og beskæftigelsespolitiske tendenser kan have for den konkrete rehabiliteringsindsats i praksis....

  3. The Challenge of Access: Using Road Construction as a Tool in Counterinsurgency

    Science.gov (United States)

    2011-06-10

    the Magna Carta for Baluchistan. The treaty increased the Khan‘s income from his chiefs but required him to 48 respond to their complaints. It...reconstruction of the road could and should have been an actual combat maneuver.‖36 While the reasons for building the road quickly were clear, the...He worried the militia force was paid to provide security, and might actually facilitate sporadic insurgent attacks in order to justify continued

  4. Web Accessibility of the Higher Education Institute Websites Based on the World Wide Web Consortium and Section 508 of the Rehabilitation Act

    Science.gov (United States)

    Alam, Najma H.

    2014-01-01

    The problem observed in this study is the low level of compliance of higher education website accessibility with Section 508 of the Rehabilitation Act of 1973. The literature supports the non-compliance of websites with the federal policy in general. Studies were performed to analyze the accessibility of fifty-four sample web pages using automated…

  5. Storage and access schemes for aggregate query processing on road networks

    OpenAIRE

    Demir, Engin

    2009-01-01

    Ankara : The Department of Computer Engineering and the Institute of Engineering and Science of Bilkent University, 2009. Thesis (Ph.D.) -- Bilkent University, 2009. Includes bibliographical references leaves 103-111. A well-known example of spatial networks is road networks, which form an integral part of many geographic information system applications, such as locationbased services, intelligent traveling systems, vehicle telematics, and locationaware advertising. In pract...

  6. Der grüne Weg zu Open Access: institutionelle und fachliche Repositorien / The Green Road to Open access: institutional and subject repositories

    Directory of Open Access Journals (Sweden)

    Bauer, Bruno

    2009-06-01

    Full Text Available The recent issue 1/2009 of GMS Medizin – Bibliothek – Information has a focus on „The green road to open Access: institutional and subject repositories“. Self-archiving and storing scholarly publications on a print server were also central topics in many presentations at the 9th International Bielefeld Conference in February 2009. The authors in this issue are Birgit Schmidt and Karin Ilg-Hartecke (Open Access in Deutschland – erweiterte Perspektiven für die Wissenschaft, Christoph Bruch and Anja Lengenfelder (Unterstützung des Grünen Weges zu Open Access an der Max-Planck-Gesellschaft, Ulrich Herb and Matthias Müller (Nuancen in Grün: Betrieb eines institutionellen und disziplinären Repositoriums – Erfahrungen und Entwicklungen an der Saarländischen Universitäts- und Landesbibliothek, Timo Borst and Jan B. Weiland (EconStor: ein fachliches Repositorium für die Wirtschaftswissenschaften, Antonella de Robbio and Michael Katzmayr (The management of an international open access repository: the case of E-LIS and Christian Gumpenberger (The EPrints story: Southampton as the cradle of institutional self-archiving.Furthermore this focus issue features an interview of a representative of a research funding organisation (Repositorien: Der grüne Weg zu Open Access Publishing aus der Perspektive einer Forschungsförderungsorganisation. 10 Fragen von Bruno Bauer an Falk Reckling, Mitarbeiter des FWF Der Wissenschaftsfonds and an interview of a publisher (Repositorien: Der grüne Weg zu Open Access Publishing aus der Perspektive der International Association of Scientific, Technical & Medical Publishers (STM: 10 Fragen von Bruno Bauer an Barbara Kalumenos, Director of Public Affairs bei STM.

  7. The road to recovery and rehabilitation for injured service members with limb loss: a focus on Iraq and Afghanistan.

    Science.gov (United States)

    Isaacson, Brad M; Weeks, Sharon R; Pasquina, Paul F; Webster, Joseph B; Beck, James P; Bloebaum, Roy D

    2010-01-01

    Amputation of an extremity due to traumatic injury or a vascular occlusive disease is a life-altering event that occurs when limb salvage is not possible. While an amputation is viewed as a life saving procedure clinically, limb deficiency may result in an immediate loss in social, physical and financial well-being for the patient. Military personnel returning from Operation Enduring Freedom and Operation Iraqi Freedom face unique challenges due to short residual limbs, unplanned amputations, high incidences of multiple limb loss, and accustomed activity levels prior to an amputation. The primary rehabilitation goal for these individuals is to provide them with an expedited recovery and progressive reintroduction into the civilian or active duty population. It is the purpose of this review to discuss the most frequent rehabilitation hardships service members endure following combat related trauma and future of prosthetic limb technology.

  8. Causes of Raptor Admissions to a Wildlife Rehabilitation Center in Tenerife (Canary Islands)full access

    OpenAIRE

    2010-01-01

    We studied the causes of raptor admissions to the only wildlife rehabilitation center on the largest island of the Canarian Archipelago (Tenerife) over ten years (1998–2007). A total of 2611 birds of prey, belonging to nine falconiform diurnal raptor and four strigiform species, were admitted. The Eurasian Kestrel (Falco tinnunculus) and the Long-eared Owl (Asio otus) were the species most commonly admitted and jointly made up 85.6% of admissions. The most frequent causes of admission to the ...

  9. EPA GHG Certification of Medium- and Heavy-Duty Vehicles: Development of Road Grade Profiles Representative of US Controlled Access Highways

    Energy Technology Data Exchange (ETDEWEB)

    Wood, Eric; Duran, Adam; Kelly, Kenneth

    2016-10-01

    In collaboration with the U.S. Environmental Protection Agency and the U.S. Department of Energy, the National Renewable Energy Laboratory has conducted a national analysis of road grade characteristics experienced by U.S. medium- and heavy-duty trucks on controlled access highways. These characteristics have been developed using TomTom's commercially available street map and road grade database. Using the TomTom national road grade database, national statistics on road grade and hill distances were generated for the U.S. network of controlled access highways. These statistical distributions were then weighted using data provided by the U.S. Environmental Protection Agency for activity of medium- and heavy-duty trucks on controlled access highways. The national activity-weighted road grade and hill distance distributions were then used as targets for development of a handful of sample grade profiles potentially to be used in the U.S. Environmental Protection Agency's Greenhouse Gas Emissions Model certification tool as well as in dynamometer testing of medium- and heavy-duty vehicles and their powertrains.

  10. Roads (Johnson City)

    Data.gov (United States)

    National Park Service, Department of the Interior — This is a vector line file showing the location of existing NPS roads including access roads for which the park has an easement at Lyndon B. Johnson National...

  11. Influence of diversity and road access on palm extraction at landscape scale in SE Ecuador

    DEFF Research Database (Denmark)

    Byg, A.; Vormisto, J.; Balslev, Henrik

    2007-01-01

    The relationship between biodiversity and the activities of small-scale farmers remains poorly understood despite its importance for conservation. In tropical forest areas farmers often include extraction of forest products in their subsistence strategies, and it has been suggested that factors...... factors, or a combination of both. In either case, our results show that forests with higher diversity levels are not necessarily more valuable to local people compared to less diverse forests. Instead, socio-economic factors such as market access may be more important in shaping people's relationship...

  12. Unterstützung des Grünen Weges zu Open Access an der Max-Planck-Gesellschaft / Support of the Green Road to Open Access within the Max Planck Society

    Directory of Open Access Journals (Sweden)

    Lengenfelder, Anja

    2009-06-01

    Full Text Available The Max Planck Society (Max-Planck-Gesellschaft; MPG with equal weight supports both the Golden and Green Road to Open Access in practice and politically in a sustainable way.In the context of the Green Road it runs with eDoc a central institutional repository for the MPG. The software of the same name is an in-house development. Based on the experiences and wishes of the users, currently, a new application (PubMan which is built upon the eSciDoc framework is introduced within the institutes. eSciDoc is a co-operation with the FIZ Karlsruhe and is funded until 2009 by the BMBF. All applications and services are Open Source and can therefore be re-used and be further developed. Apart from the development and maintenance of technical infrastructures, the Green Road within the MPG is furthered via direct and indirect personal support for scientists during the publication process. In this regard the close exchange between single Max Planck Institutes, the Max Planck Digital Library and other national and international partners plays an important role. With the Berlin Declaration in 2003 and currently in the Priority Initiative “Digital Information” of the Alliance of the German Research Organizations this commitment for Open Access is also politically represented.In this article are introduced and explained both eDoc and PubMan respectively as well as the Open Access Policy of the MPG with a special focus on the activities within the Green Road.

  13. Kansas Road Centerline Fle (KRCF)

    Data.gov (United States)

    Kansas Data Access and Support Center — This version of the Kansas Road Centerline File (0801) represents the first effort to create a statewide roads layer from best available data sources. KGS integrated...

  14. Grant County E-911 Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This data set contains a vector digital representation of all accessible roads in the county including interstate highways, State highways, county roads and city...

  15. Sierra County E-911 Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This data set contains a vector digital representation of all accessible roads including interstate highways, State highways, county roads and some city streets in...

  16. State Forest Roads

    Data.gov (United States)

    Minnesota Department of Natural Resources — ArcView shape file of roads administered by the Commissioner of Natural Resources to provide access to lands administered by the Division of Forestry. Most, but not...

  17. Auctioning Concessions for Private Roads

    NARCIS (Netherlands)

    Ubbels, Barry; Verhoef, Erik

    2004-01-01

    Private toll roads are now seriously considered as an alternative to public (free-access) road infrastructure. Nevertheless, complete private provision without governmental control is only rarely considered. A main consideration against private roads would be that operators would be primarily intere

  18. Paralysis: Rehabilitation

    Science.gov (United States)

    ... Forum About Us Donate Living with Paralysis > Rehabilitation Rehabilitation Rehabilitation and exercise are key to enhancing your health and quality of life. Find a rehabilitation center near you and become familiar with different ...

  19. Accessibility Analysis of Road Network Supported by Isochrone Model%等时线模型支持下的路网可达性分析

    Institute of Scientific and Technical Information of China (English)

    何亚坤; 艾廷华; 禹文豪

    2014-01-01

    An isochrone is a visual representation of time accessibility which refers to a particular point in the road network .Features of road network and traffic conditions should be considered when generating isochrones .Accessibility rules can be found through analyzing the morphological features of isochrones .This article systematically studied the definition ,characteristics and generation methods of isochrones T.he flow method was proposed to generate isochrones ,which was analogous to the process of water drop spreading along the wood texture .Accessibility expansion paths were obtained on the basis of the network rasteriza‐tion model , considering unique constraints of isochrones extension , such as road conditions , moving criteria and time sections .Then we used the extending convex hull and angle bisector displacement to generate isochrones .Since the algorithm was based on field theory , we could flexibly load space constraints for any part of interested zones .This advantage made it convenient to generate real‐time isochrones .Similar to extracting geomorphic traits from contour lines ,accessibility rules were found by analyzing the arrangement form , density , bending form , bending direction and stretching direction of isochrones which was generated by the above approach .After that ,accessibility rules were inferred .%等时线是道路网中参考于某特定点位的系列时间可达性的可视化表达,其生成需要分析道路网络特性及通行状况,其形态可以反映可达性规律。本文对等时线进行了定义、特性分析及生成方法研究;通过类比水滴沿木板的纹理扩散的过程,提出水流扩展算法生成等时线,在网络栅格化模型的基础上,考虑等时线扩展独特的约束条件,如道路状况、移动条件及时间分段等获得可达性扩展路径,通过扩展凸包和角平分线移位生成等时线。水流扩展算法基于场论思想,可以针对网络空间中任

  20. Miscellaneous Roads

    Data.gov (United States)

    Minnesota Department of Natural Resources — This data set contains roadway centerlines for miscellanous roads, a catch-all category for all road types not present in the other DNR derived products. These road...

  1. Improving Vocational Rehabilitation Access and Return to Work and Career Outcomes among African American Wounded Warriors, Gulf War, and Vietnam War Era Veterans with Disabilities: A White Paper Series

    Science.gov (United States)

    Moore, Corey L., Ed.: Johnson, Jean E., Ed.; Washington, Andre L., Ed.

    2011-01-01

    The purpose of this monograph is to present documents that discuss issues related to improving access to vocational rehabilitation services and return to work rates of African American Wounded Warriors, Gulf War and Vietnam War Era veterans with disabilities. This monograph also includes a review of relevant literature on barriers to employment…

  2. Contracting the Road to Development: Early Impacts of a Rural Roads Program

    OpenAIRE

    Martin Valdivia

    2010-01-01

    We study here the early impacts of the Peruvian Rural Roads Program (RRP), characterized by a decentralized mechanism that contracts private local firms for the rehabilitation and maintenance of rural roads with local supervision by community leaders setting incentives that favour prevention activities and a sustainable and timely maintenance of rural roads. The analysis is based on a quasi-experimental approach through which control roads are defined prior to the intervention and based on ke...

  3. Development status and prospect of rehabilitation clinical nurse specialist

    Directory of Open Access Journals (Sweden)

    Xiao-ping WANG

    2014-04-01

    Full Text Available Through access to a lot of relevant information on the role of the rehabilitation nurse specialist functions, explore how rehabilitation specialist nurse qualifications provides a basis for our rehabilitation specialist nurse cultivating and development.

  4. EPA GHG Certification of Medium- and Heavy-Duty Vehicles: Development of Road Grade Profiles Representative of US Controlled Access Highways

    Energy Technology Data Exchange (ETDEWEB)

    Wood, Eric [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Duran, Adam [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Burton, Evan [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Gonder, Jeffrey [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Kelly, Kenneth [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2015-05-12

    This report includes a detailed comparison of the TomTom national road grade database relative to a local road grade dataset generated by Southwest Research Institute and a national elevation dataset publically available from the U.S. Geological Survey. This analysis concluded that the TomTom national road grade database was a suitable source of road grade data for purposes of this study.

  5. Strabo's roads

    DEFF Research Database (Denmark)

    Bekker-Nielsen, Tønnes

    2017-01-01

    in the Geography, and the world-view, of Strabo. Strabo did not take much interest in roads as artefacts or monuments, in the technology of road construction, or in the mythological and historical background of individual roads. He is primarily interested in roads from a functional point of view. For the general...

  6. DNR State Forest Roads - WHEELS Database

    Data.gov (United States)

    Minnesota Department of Natural Resources — Roads administered by the Commissioner of Natural Resources to provide access to lands administered by the Division of Forestry. These roads are generally open to...

  7. De Baca County E-911 Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This data set contains a vector digital representation of all accessible roads including interstate highways, State highways, county roads and city streets in DeBaca...

  8. ROAD SAFETY

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Every year a lot of people are killed or injured in road accidents.How can we make the roads safer?Remember the following traffic rules. When you ride a bike,keep to the right side of the road.Don't cross the road or turn left at a red traffic light.Give a hand signal if you want to turn or stop. Before crossing the road,stop and look both ways,right and left.If the road is

  9. Mitigation Options to Reduce Icing and Thaw Instability Problems on the Denali Park (Alaska) Access Road%阿拉斯加德纳里国家公园公路沿线冰椎和融化失稳问题的减灾备选方案

    Institute of Scientific and Technical Information of China (English)

    Ted S. Vinson

    2005-01-01

    Only one access road leads into Denali Park. The serviceability and safety of this gravel road is obviously of paramount importance to the National Park Service (NPS). Since the late 1950s and mid-1960s major icings and a landslide, respectively, have occurred along the Denali Park access road. During the summer of 1990 the landslide activity intensified. The central section of the Park through which the access road traverses is designated as a wilderness area. Consequently, off road field exploration required to quantify the hazards and remediation activities that may be proposed to mitigate icings and stabilize the landslide, are severely restricted and closely scrutinized by the NPS. The results of an evaluation of (1) the current state-of-the-practice to control icings, and (2) thaw stabilization techniques that could be applied to the northwest corner of the landslide are presented herein. The recommendations which followed, respecting the wilderness area designation for the Park, are also presented.

  10. Road density

    Data.gov (United States)

    U.S. Environmental Protection Agency — Road density is generally highly correlated with amount of developed land cover. High road densities usually indicate high levels of ecological disturbance. More...

  11. Road Safety

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Every day we all use roads. We walk on them. We walk eitheralong the pavement (人行道)or across the road. If we are careless, wecan cause accidents.Accidents often happen when people arecrossing the road. Here is some advice.

  12. Repositorien: Der grüne Weg zu Open Access Publishing aus der Perspektive einer Forschungsförderungsorganisation: 10 Fragen von Bruno Bauer an Falk Reckling, Mitarbeiter des FWF Der Wissenschaftsfonds / Repository: The Green Road to Open Access Publishing and the FWF Austrian Science Fund's point of view: 10 questions to Falk Reckling, Austrian Science Fund, by Bruno Bauer

    Directory of Open Access Journals (Sweden)

    Bauer, Bruno

    2009-06-01

    Full Text Available Advocates of Open Access call to substitute the established scholarly publication model, in particular subscriptions and licences, by an Open Access Publishing model. Scholarly papers should be immediately accessible without paying and leave the copyright to the author. At the beginning the Open Access movement focused on and demanded for the publication of original scientific articles in Open Access journals. Meanwhile they moved on to support a form of secondary publication, the self-archiving of sholarly papers in institutional repositories. The current interview with Falk Reckling gives an account of the FWF Austrian Science Fund (http://www.fwf.ac.at and their point of view towards Open Access. The interview hits the Golden Road as well as the Green Road to open access and their costs. Preconditions for a paradigm shift towards Open Access Publishing are brought up and prospects of sholarly publishing in 2020 were discussed with a look on libraries and their possible role within this setting

  13. Rehabilitation Engineering: What is Rehabilitation Engineering?

    Science.gov (United States)

    ... Parents/Teachers Resource Links for Students Glossary Rehabilitation Engineering What is rehabilitation engineering? How can future rehabilitation ... the area of rehabilitation engineering? What is rehabilitation engineering? Powered prosthetic leg. Source : M. Goldfarb, Vanderbilt U. ...

  14. Rehabilitation Research.

    Science.gov (United States)

    Wright, George N.; Trotter, Ann Beck

    A total of 97 studies are reported in this review of research in vocational rehabilitation. Projects were selected on the following criteria: (1) pertinence to rehabilitation counseling practice, (2) research approach, (3) broad generalizability, and (4) supported by the Vocational Rehabilitation Administration for a one-to-five-year period and…

  15. FUNCTIONAL CLASSIFICATION OF RURAL ROADS IN SERBIA

    Directory of Open Access Journals (Sweden)

    Mihailo Maletin

    2015-06-01

    Full Text Available In order to revise the existing classification of rural roads in Serbia, which is rather old and defined on administrative criteria, the research developed a proposal for functional classification and categorization of primary rural roads. This resulted in four classes of rural roads based on their basic function and, with the introduction of five spatial accessibility levels, road classes are subdivided in eight road types. Based on the Serbia State Spatial Plan data, centers of gravitation together with border crossings are classified in four categories and desire lines of major transport function levels are defined. Based on this information and traffic count data the proposal of new primary rural road network in Serbia reduces the total length of the existing one with approximately the same overall accessibility level. Proposed categorization of rural roads as primary, regional and local ones is founded on functional classification and coincides with reorganization of governmental structure in Serbia.

  16. Road works and road safety.

    NARCIS (Netherlands)

    2008-01-01

    Roadworks can cause dangerous situations for both road users and road workers. In the period 2000-2009, 2% of all registered fatal crashes in the Netherlands took place at roadworks. In addition, roadworks seem to increase the crash rate. Lorries are relatively often involved in crashes at roadworks

  17. Psychiatric rehabilitation

    OpenAIRE

    2010-01-01

    Psychiatric rehabilitation is an important component in the management of the mentally ill. This article presents a selective review of the publications in this journal. Questions addressed in this review range from assessment of rehabilitation needs to different rehabilitative approaches. Although the number of publications providing the answers is meager, there are innovative initiatives. There is a need for mental health professionals to publish the models they follow across the country.

  18. GPS Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This data set contains a 1:100,000 scale vector digital representation of all interstate highways, all US highways, most of the state highways, and some county roads...

  19. Major Roads

    Data.gov (United States)

    Minnesota Department of Natural Resources — This data set contains roadway centerlines for major roads (interstates and trunk highways) found on the USGS 1:24,000 mapping series. These roadways are current...

  20. IMPLEMENTATION OF ASSET MANAGEMENT IN ROAD ADMINISTRATION OF SLOVAK REPUBLIC

    Directory of Open Access Journals (Sweden)

    Ľubomír Pepucha

    2014-03-01

    Full Text Available The article presents basic principles and solutions for the application of Asset Management as part of road administration in Slovakia. It deals with application of Assets management methods and best practices of global trends in road maintenance, repair and rehabilitation strategies. An effective public Asset Management combines principles and strategies of asset management used in private sector with sound practices and methods proven to be applicable by public road administrator and his digital information systems. The under-funding of road management leads to development of tools and methods, which enable us to define criteria for establishing priorities for investments into road assets.

  1. Louisiana ESI: ROADS (Road Lines)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains the state maintained primary and secondary road network of Louisiana. Vector lines in the data set represent Interstates, U.S. Highways, and...

  2. Distributed road assessment system

    Science.gov (United States)

    Beer, N. Reginald; Paglieroni, David W

    2014-03-25

    A system that detects damage on or below the surface of a paved structure or pavement is provided. A distributed road assessment system includes road assessment pods and a road assessment server. Each road assessment pod includes a ground-penetrating radar antenna array and a detection system that detects road damage from the return signals as the vehicle on which the pod is mounted travels down a road. Each road assessment pod transmits to the road assessment server occurrence information describing each occurrence of road damage that is newly detected on a current scan of a road. The road assessment server maintains a road damage database of occurrence information describing the previously detected occurrences of road damage. After the road assessment server receives occurrence information for newly detected occurrences of road damage for a portion of a road, the road assessment server determines which newly detected occurrences correspond to which previously detected occurrences of road damage.

  3. Telecommunications technology in cognitive rehabilitation.

    Science.gov (United States)

    Caltagirone, Carlo; Zannino, Gian Daniele

    2008-01-01

    Cognitive disorders are a common long-term consequence of many forms of acquired neurological damage of different aetiology. The already high prevalence of diseases causing cognitive deficits (in particular stroke) is expected to increase in the near future, leading to a greater need for cognitive rehabilitation. The impact of cognitive impairment on daily functioning may be even greater than that of physical limitations in affected patients, contributing to the high cost of brain disorders. New technologies, including telerehabilitation, may provide an effective response to this challenge, allowing increased access to rehabilitation services as well as reduced care costs for individuals needing cognitive rehabilitation.

  4. Challenges of raising road maintenance funds in developing countries: An analysis of road tolling in Zimbabwe

    Directory of Open Access Journals (Sweden)

    T. C. Mbara

    2010-11-01

    Full Text Available The condition of Zimbabwe's roads has been declining due to insufficient maintenance and rehabilitation. Year on year, budget allocations have compared unfavourably with funding considered adequate to maintain highway networks and conduct modest construction work. Road infrastructure shortcomings have manifested themselves in the form of high vehicle operating costs and rampant potholes, leading to a decline in road safety and a deterioration of service levels for those who use roads to deliver goods or connect to international markets. In order to try and stop this vicious cycle of decline, the Government of Zimbabwe, on 8 August 2009, introduced a new policy of road-user charges, which involved the setting-up of 22 toll gates on the trunk road network. The overall objective was to raise revenue in order to close the funding gap, blamed for declining road quality. Although alternative methods of financing road maintenance have been debated for years, a generally accepted understanding is that road users should pay costs for road provisioning. This paper assesses the implementation of a road tolling system in Zimbabwe and describes matters relating to, inter alia, implementation strategy, initial performance outcomes and sustainability.

  5. Arbejdsrettet Rehabilitering

    DEFF Research Database (Denmark)

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard

    2014-01-01

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability...... for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts....

  6. Vocational rehabilitation

    DEFF Research Database (Denmark)

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard

    2014-01-01

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability...... for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts....

  7. Pulmonary Rehabilitation

    Science.gov (United States)

    ... shortness of breath and increase your ability to exercise. You may have heard that pulmonary rehabilitation is only for people with COPD (chronic obstructive pulmonary disease). We now know that ...

  8. VESTIBULAR REHABILITATION

    Directory of Open Access Journals (Sweden)

    Maksim Valer'evich Zamergrad

    2009-01-01

    Full Text Available Vestibular disorders are a frequent abnormality that physicians of various specialties have to encounter. Vestibular and equilibrium disorders are particularly common in elderly patients. In this case they are frequently a cause of falls and various injuries. Vestibular rehabilitation is the most important component of treatment for vestibular and equilibrium disorders. The paper considers the basic mechanisms of vestibular compensation, discusses vestibular rehabilitation procedures by doing routine exercises and by using various biofeedback crunches. In particular, it describes the principle of operation of a posturography platform, a SwayStar system for the diagnosis and therapy of vestibular disorders, and a Brainport device for vestibular rehabilitation. The current methods for drug stimulation of vestibular compensation are discussed. Vestibular rehabilitation used in the complex therapy of equilibrium disorders is stressed to considerably enhance therapeutic effectiveness, to cause a reduction in the risk of falls, and to increase quality of life in patients with vestibular disorders

  9. Rehabilitation robotics.

    Science.gov (United States)

    Krebs, H I; Volpe, B T

    2013-01-01

    This chapter focuses on rehabilitation robotics which can be used to augment the clinician's toolbox in order to deliver meaningful restorative therapy for an aging population, as well as on advances in orthotics to augment an individual's functional abilities beyond neurorestoration potential. The interest in rehabilitation robotics and orthotics is increasing steadily with marked growth in the last 10 years. This growth is understandable in view of the increased demand for caregivers and rehabilitation services escalating apace with the graying of the population. We provide an overview on improving function in people with a weak limb due to a neurological disorder who cannot properly control it to interact with the environment (orthotics); we then focus on tools to assist the clinician in promoting rehabilitation of an individual so that s/he can interact with the environment unassisted (rehabilitation robotics). We present a few clinical results occurring immediately poststroke as well as during the chronic phase that demonstrate superior gains for the upper extremity when employing rehabilitation robotics instead of usual care. These include the landmark VA-ROBOTICS multisite, randomized clinical study which demonstrates clinical gains for chronic stroke that go beyond usual care at no additional cost.

  10. 36 CFR 228.12 - Access.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Access. 228.12 Section 228.12... Minerals § 228.12 Access. An operator is entitled to access in connection with operations, but no road... other means of access, including but not limited to off-road vehicles, be used until the operator...

  11. Road works

    CERN Multimedia

    GS Department

    2010-01-01

    From Monday 11 October until Friday 29 October 2010, the flow of traffic will be disrupted by road works at the roundabout in front of Restaurant No. 2; The number of spaces available in the car park in front of Rest. No. 2 will be reduced. Thank you for your understanding during this period. GS/SEM Group

  12. Vocational Rehabilitation for Women with Disabilities.

    Science.gov (United States)

    Stace, Sheila

    1987-01-01

    Women with disabilities have limited access to the labor market owing to the double disadvantage of being both disabled and female. The current rehabilitation system is inadequate to meet this population's needs. Further research, broader action programs, changes in vocational rehabilitation, and active measures against discrimination are needed.…

  13. Kansas Non-State Road System

    Data.gov (United States)

    Kansas Data Access and Support Center — This dataset is a single centerline road network representation of 120,000 miles of the Kansas non-state highway system with limited attribution. It includes rural...

  14. Stroke rehabilitation: an international perspective.

    Science.gov (United States)

    Teasell, Robert; Meyer, Matthew J; McClure, Andrew; Pan, Cheng; Murie-Fernandez, Manuel; Foley, Norine; Salter, Katherine

    2009-01-01

    There is a revolution underway in stroke rehabilitation. International comparative studies coupled with an impressive evidence base have provided a platform from which an ideal system for stroke rehabilitation can be envisioned. Using the concepts of structure and process of care, different systems of stroke rehabilitation can be compared and evaluated against best evidence. Two structures of care are examined: specialized interdisciplinary stroke rehabilitation units and outpatient programs. Although specialized interdisciplinary stroke rehabilitation units remain the "gold standard" of care, access to them is often limited. Outpatient programs are essential to stroke rehabilitation systems of care; however, while some countries are investing in outpatient programs, others are scaling back. Even though structures of care have been shown to affect processes of care, it is the processes of care that have proven to be more influential in altering patient outcomes. Four key processes of care are examined: time to admission, intensity of therapy, task-specific therapy, and discharge planning. Within international stroke rehabilitation systems, differences in these processes have resulted in significant differences in outcomes. This allows for "real-world" comparisons of how differing processes affect patient outcomes. Those systems whose structures and processes of care best reflect current best evidence appear to achieve better outcomes.

  15. 24 CFR 8.30 - Rental rehabilitation program.

    Science.gov (United States)

    2010-04-01

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Program Accessibility § 8.30 Rental rehabilitation program. Each grantee or state recipient in the rental rehabilitation program shall, subject to the priority in 24 CFR... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Rental rehabilitation program....

  16. Interdisciplinary rehabilitation

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    @@ IntroductionInterdisciplinary rehabilitation, or care by a team of rehabilitation professionals, has been a core strategy of rehabilitation medicine since its beginning. As a result, quality assessments of these programs universally include evaluating the effectiveness of their interdisciplinary teams. Rehabilitation programs for individuals with physical and cognitive disabilities originally were institutionally based, an environment that facilitated the communication needed for interdisciplinary care. These programs addressed a full spectrum of problems, including health, physical functioning, psychological adjustment, social integration, and vocational or other significant role participation. The implementation of truly interdisciplinary programs has always been difficult because of this complexity, but recent restrictions in the resources available to provide rehabilitation have increased this difficulty. With less professional time available because of limited funds, the interdisciplinary process is being challenged to show its value, and to be as efficient as possible.This paper discusses the benefits to be gained through the interdisciplinary process, factors that reduce its cost effectiveness and strategies to maintain its advantages at the least possible cost.

  17. Burn Rehabilitation

    Directory of Open Access Journals (Sweden)

    Koray Aydemir

    2011-07-01

    Full Text Available Burn injuries are important in terms of causing serious disability and threatening life. With the establishment of modern burn treatment units and advances in acute care management contributed to a reduced mortality rate over the last decades. As a result of improved outcome, more attention has to be given to a comprehensive burn rehabilitation program. Burn rehabilitation is a process that starts from day of admission and continues for months or sometimes years after the initial event. The term ‘burn rehabilitation’ incorporates the physical, physiological and social aspects of care. Burns can leave a patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. Burn rehabilitation aims to prevent the possible complications, minimalize joint contractures and deformities, increase range of motion, control hypertrophic scarring, achieve the best possible functional capacity and to regain the patients vocational and recreational activities. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 70-7

  18. [Is rehabilitation worth it? : Review of economic evaluations of rehabilitation in Germany].

    Science.gov (United States)

    Krauth, Christian; Bartling, Tim

    2017-04-01

    Because of demographic change, the rehabilitation sector in Germany is going to face increasing demands in the future. Limited budgets make the optimal allocation of resources a top priority. To support decisions about the optimal scope and design of rehabilitation, studies on health economics are of utmost importance. The aim of this article is to provide an overview of the evaluation of rehabilitation with regard to health economics in Germany.Based on a comprehensive literature research, 17 studies on the cost-effectiveness of rehabilitation in Germany were identified. The health economics evaluation focuses on four main topics: patient education (5 studies), the comparison of outpatient and inpatient rehabilitation (7 studies), medico-occupational rehabilitation programs (2 studies) and aftercare programs (3 studies). All four topics show that innovative rehabilitation technologies can be cost-effective. Significant potential savings in program costs of 25-35% are demonstrated in outpatient rehabilitation (with comparable effectiveness with inpatient care). Designated patient education programs often lead to significant savings with indirect costs, by reducing periods of unfitness to work and extending the long-term ability to work. This review article also points out that some relevant areas of rehabilitation, such as the flexibilization of rehabilitation programs or the efficient organization of access to rehabilitation, have not been evaluated sufficiently on the basis of health economics. This article ends with the requirement to carry out more economics-based rehabilitation studies.

  19. Case study: Gold road to Open Access in research publishing domain - experience of Institute of Chemical Technology Prague from the pilot project

    Directory of Open Access Journals (Sweden)

    Jirát Jiří

    2014-07-01

    Full Text Available Elektronické informační zdroje (e-časopisy, e-knihy, databáze patří mezi základní nepostradatelné pilíře výzkumu a vývoje, ČR za nř plánuje vy-dat v letech 2013-2017/8 přes 3 mld. Kč. Současně však celosvětově do-chází k velké diskusi a posunům v oblasti odborného publikování směrem k tzv. otevřenému přístupu (Open Access. Zejména Evropská unie v následujících letech silně podpoří Open Access v oblasti odborného publikování (finanční podporou i donucením v rámci pravidel nových programů. Jaké praktické důsledky to bude mít pro výzkumné institu-ce v oblasti chemie, je ukázáno na příkladu pilotního projektu VŠCHT Praha. Analýza vyhodnocuje, jak jsou jednotlivé možnosti Open Access blízké zvyklostem autorů v oblasti chemie. Vyplývá z ní, že autoři zatím jednoznačně preferují tzv. zlatou cestu (gold Open Access. Výsledky pilotního projektu naznačují vhodnost centralizace podpory zlaté cesty Open Access na národní úrovni.

  20. Rehabilitation Aids.

    Science.gov (United States)

    National Center on Educational Media and Materials for the Handicapped, Columbus, OH.

    Selected from the National Instructional Materials Information System (NIMIS)--a computer based on-line interactive retrieval system on special education materials--the bibliography covers 40 equipment items for rehabilitation and physical therapy programs for all levels of handicapped children. Described are such items as a handygym, a suspension…

  1. Stroke Rehabilitation

    Science.gov (United States)

    ... or other long-term facility 15% die shortly after the stroke Approximately 14% of stroke survivors experience a second stroke in the first year following a stroke. Successful rehabilitation depends on: Amount of damage to the brain Skill on the part of ...

  2. Cardiac Rehabilitation

    Science.gov (United States)

    ... your risk of future heart problems, and to improve your health and quality of life. Cardiac rehabilitation programs increase ... exercise routine at home or at a local gym. You may also continue to ... health concerns. Education about nutrition, lifestyle and weight loss ...

  3. Rehabilitation News.

    Science.gov (United States)

    International Journal of Rehabilitation Research, 1987

    1987-01-01

    Rehabilitation news items include, among others: a midpoint review of the implementation of the World Programme of Action Concerning Disabled Persons, an international study on the impact of new technologies on employment of disabled people, and a U.S. project to investigate disability service provision and innovations in other countries. (JDD)

  4. TransRoad_RDS

    Data.gov (United States)

    Vermont Center for Geographic Information — The Road Centerline data layer (TransRoad_RDS) contains all town and state highways, as well as many private roads. The centerlines were originally developed under...

  5. VT Road Centerline

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata)(User Guide)The Vermont Road Centerline data layer (TransRoad_RDS) contains all town and state highways, as well as many private roads. The...

  6. ANALYSIS OF GROUP MAINTENANCE STRATEGY -ROAD PAVEMENT AND SEWERAGE PIPES-

    Science.gov (United States)

    Tanimoto, Keishi; Sugimoto, Yasuaki; Miyamoto, Shinya; Nada, Hideki; Hosoi, Yoshihiko

    Recently, it is critical to manage deteriorating sewerage and road facilities efficiently and strategically. Since the sewerage pipes are mostly installed under road pavement, the works for the replacement of the sewerage pipes are partially common to the works for the road. This means that the replacement cost can be saved by coordinating the timing of the replacements by sewerage pipe and road pavement. The purpose of the study is to develop the model based on Markov decision process to derive the optimal group maintenance policy so as to minimize lifecycle cost. Then the model is applied to case study area and demonstrated to estimate the lifecycle cost using statistical data such as pipe replacement cost, road pavement rehabilitation cost, and state of deterioration of pipes and road pavement.

  7. 75 FR 35439 - Medical Diagnostic Equipment Accessibility Standards

    Science.gov (United States)

    2010-06-22

    ...) amended the Rehabilitation Act of 1973 by adding Section 510 to the Rehabilitation Act. Section 510 of the Rehabilitation Act requires the Architectural and Transportation Barriers Compliance Board (Access Board), in consultation with the Food and Drug Administration, to issue accessibility standards for medical...

  8. Rehabilitation and Prosthetic Services

    Science.gov (United States)

    ... Service » Prosthetic & Sensory Aids Service (PSAS) Rehabilitation and Prosthetic Services Menu Menu Rehabilitation and Prosthetics Rehabilitation and ... Enter ZIP code here Enter ZIP code here Prosthetic & Sensory Aids Service (PSAS) Our Mission The mission ...

  9. Basics of SCI Rehabilitation

    Science.gov (United States)

    ... Donate Experts \\ The Basics of Spinal Cord Injury Rehabilitation Topics Adult Injuries Spinal Cord Injury 101 Spinal ... Injury 101 The Basics of Spinal Cord Injury Rehabilitation The Basics of Spinal Cord Injury Rehabilitation Preventing ...

  10. What Is Cardiac Rehabilitation?

    Science.gov (United States)

    ANSWERS by heart Treatments + Tests What Is Cardiac Rehabilitation? A cardiac rehabilitation (rehab) program takes place in a hospital or ... special help in making lifestyle changes. During your rehabilitation program you’ll… • Have a medical evaluation to ...

  11. Balance (or Vestibular) Rehabilitation

    Science.gov (United States)

    ... the Public / Hearing and Balance Balance (or Vestibular) Rehabilitation Audiologic (hearing), balance, and medical diagnostic tests help ... whether you are a candidate for vestibular (balance) rehabilitation. Vestibular rehabilitation is an individualized balance retraining exercise ...

  12. Stroke rehabilitation building of Access database and its application%脑卒中康复Access数据库的建立及其应用

    Institute of Scientific and Technical Information of China (English)

    崔高亮

    2011-01-01

    目的:建立脑卒中康复Access数据库,为临床研究搭建一个较好的平台.方法:设计脑卒中康复数据库框架;依据脑卒中康复数据库框架,用 Visual Basic设计客户端界面,Access 2003做后台数据库,建立含表、查询、窗体、报表等项目的数据库.结果:建成一个具有存储、数据输入输出、统计分析、检索查询等功能的脑卒中康复数据库.结论:脑卒中康复Access数据库为注册登记研究提供了一种有利的工具.

  13. Peru : Impact of the Rural Roads Program on Democracy and Citizenship in Rural Areas

    OpenAIRE

    Remy Simatovia, María Isabel

    2008-01-01

    The rural roads program, overseen by Provias Descentralizado (subdivision of Peru's Ministry of Transportation and Communications), began in 1995, and has received funds from the Peruvian Government, the World Bank and the Inter-American Development Bank. It is a national program for the rehabilitation and maintenance of roads that link rural communities and villages with secondary and pri...

  14. The road safety audit and road safety inspection.

    NARCIS (Netherlands)

    2007-01-01

    A road safety audit (RSA) and a road safety inspection (RSI) are used to test the safety level of the road infrastructure. The RSA tests the design of new roads or the reconstruction of existing roads, whereas the RSI is used for testing existing roads. An RSA, therefore, aims to 'improve' the road

  15. [Dysphagia rehabilitation].

    Science.gov (United States)

    Saitoh, Eiichi

    2008-11-01

    Recently, many medical professionals become to realize eating problem affect deeply patient's quality of life (QOL), and they are very interested in dysphagia rehabilitation. I overviewed dysphagia rehabilitation along with the followings; (1) impact of dysphagia, (2) assessment of dysphagia, and (3) management of dysphagia. Eating is the most enjoyable activity. Dysphagia changes this enjoyable activity to the most fearful one. Dysphagia makes three major problems: risk of aspiration pneumonia and suffocation, risk of dehydration and malnutrition, and depriving enjoyable activity. As a recent conceptualization of eating, the Process model is the most important, that reveals eating (chew-swallow) is very different from just chewing plus swallowing in physiologically. In assessment, standardized functional tests such as the Repetitive saliva swallowing test, the Modified water swallowing test, and the Graded food test are used. The most important point in clinical assessment is identifying indication of direct therapy using food or starting period of oral feeding. Videofluorographic and videoendoscopic examinations are used as precise diagnostic and management-oriented assessment tools. In management, exercise, posture adjustment, and modification of food promote eating possibility. Oral care is essential in dysphagic patients. Surgical intervention is effective method if a patient has severe dysphagia.

  16. Democratizing Neurorehabilitation: How Accessible are Low-Cost Mobile-Gaming Technologies for Self-Rehabilitation of Arm Disability in Stroke?

    Science.gov (United States)

    Rinne, Paul; Mace, Michael; Nakornchai, Tagore; Zimmerman, Karl; Fayer, Susannah; Sharma, Pankaj; Liardon, Jean-Luc; Burdet, Etienne; Bentley, Paul

    2016-01-01

    Motor-training software on tablets or smartphones (Apps) offer a low-cost, widely-available solution to supplement arm physiotherapy after stroke. We assessed the proportions of hemiplegic stroke patients who, with their plegic hand, could meaningfully engage with mobile-gaming devices using a range of standard control-methods, as well as by using a novel wireless grip-controller, adapted for neurodisability. We screened all newly-diagnosed hemiplegic stroke patients presenting to a stroke centre over 6 months. Subjects were compared on their ability to control a tablet or smartphone cursor using: finger-swipe, tap, joystick, screen-tilt, and an adapted handgrip. Cursor control was graded as: no movement (0); less than full-range movement (1); full-range movement (2); directed movement (3). In total, we screened 345 patients, of which 87 satisfied recruitment criteria and completed testing. The commonest reason for exclusion was cognitive impairment. Using conventional controls, the proportion of patients able to direct cursor movement was 38-48%; and to move it full-range was 55-67% (controller comparison: p>0.1). By comparison, handgrip enabled directed control in 75%, and full-range movement in 93% (controller comparison: pmobile devices are likely to be accessible only to mildly-disabled stroke patients. Technological adaptations such as grip-control can enable more severely affected subjects to engage with self-training software.

  17. Temporary roads : nature-friendly construction method cuts road width by half and saves money

    Energy Technology Data Exchange (ETDEWEB)

    Godfrey, B.

    2010-10-15

    This article discussed a new method for building low-disturbance temporary roads that entails mulching trees and using the resulting wood-fibre material for the road bed. The size of the mulch is adjusted for conditions. A specialized whole-tree mulcher is used after the access area is logged and the felled trees cleared away. The mulcher mulches a whole tree to specs and then moves on to the next tree. Merchantable wood is removed and sold. The process is suited to flat or gently sloping areas at higher elevations, and it reduces the width of a conventional clay-based right-of-way by 50 percent. Clay-built roads require extensive ditch drainage, increasing the width needed, but moisture drains directly through mulch-based roads, which also leave the underlying root zone undisturbed, so no drainage ditches are needed. The new method reduces disturbance resulting from road width, makes use of materials that would otherwise go unused, eliminates the need to import large quantities of fill, and eliminates the risk of introducing new species to the roadway area during the reclamation process. The mulch road bed has a depth of 8 to 20 inches. Leaving the root bed undisturbed adds to the load-bearing integrity of the road. The mulch method also cuts overall access costs. The construction cost is slightly more than for clay-based roads, but the severely reduced reclamation cost results in big savings. 1 ref., 3 figs.

  18. Acessibilidade organizacional de crianças com paralisia cerebral à reabilitação motora na cidade do Recife Organizational access to motor rehabilitation for children with cerebral paralysis in the city of Recife

    Directory of Open Access Journals (Sweden)

    Aleide Karine Vieira Tôrres

    2011-12-01

    Full Text Available OBJETIVOS: caracterizar acessibilidade organizacional de crianças com paralisia cerebral aos serviços de reabilitação motora. MÉTODOS: estudo descritivo, retrospectivo, censitário, efetuado de janeiro a junho/2009, em três serviços de reabilitação do Recife. Participaram 38 menores de cinco anos, portadores do agravo, residentes no Recife. Utilizou-se questionário para obter informações de acompanhantes e prontuários das crianças. As variáveis foram descritas segundo serviço atual, primeiro serviço utilizado e número de serviços utilizados. RESULTADOS: entre os acompanhantes, 94,7% eram responsáveis pela criança (76,3% mãe e 68,4% das crianças tinham entre 25-59 meses de idade. Metade usou mais de um serviço, ocorrendo utilização simultânea em 26,3%. Para 28,2% reabilitação iniciou-se mais de seis meses após diagnóstico. As crianças foram encaminhadas por médico (75,8% e 86,4% tiveram um tempo máximo de espera para primeira consulta com fisioterapeuta de 30 dias. As responsáveis encontraram dificuldade para agendar primeira consulta (68,4%. Uma maior dificuldade para continuar fisioterapia foi identificada entre aqueles que usaram de dois e mais serviços. CONCLUSÕES: constatou-se demanda reprimida. Utilização de mais de um serviço e superposição de serviços sugeriram insatisfação com atenção. Os processos políticos e organizacionais voltados à estruturação do sistema de referência/contrarreferência necessitam priorização.OBJECTIVES: to characterize organizational access to motor rehabilitation services for children with cerebral paralysis. METHODS: a descriptive, retrospective, censusbased study, carried out between January and June 2009, at three rehabilitation services in Recife. The study covered 38 children aged less than five years, with the disorder, residing in Recife. A questionnaire was used to obtain information from the individual accompanying the child and the child's medical

  19. Final priority; National Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers. Final priority.

    Science.gov (United States)

    2013-06-14

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority for a Rehabilitation Engineering Research Center (RERC) on Universal Interfaces and Information Technology Access under the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). The Assistant Secretary may use this priority for a competition in fiscal year (FY) 2013 and later years. We take this action to focus research attention on areas of national need. We intend to use this priority to improve outcomes for individuals with disabilities.

  20. Late physiotherapy rehabilitation changes gait patterns in post-stroke patients

    Directory of Open Access Journals (Sweden)

    Almeida Aline do Socorro Soares Cardoso

    2017-02-01

    Full Text Available Study aim: To determine whether a physiotherapy protocol improves the electromyographic activation (EA during the hemiparetic gait in patients with delayed access to rehabilitation.

  1. Future Road Density

    Data.gov (United States)

    U.S. Environmental Protection Agency — Road density is generally highly correlated with amount of developed land cover. High road densities usually indicate high levels of ecological disturbance. More...

  2. Future Roads Near Streams

    Data.gov (United States)

    U.S. Environmental Protection Agency — Roads are a source of auto related pollutants (e.g. gasoline, oil and other engine fluids). When roads are near streams, rain can wash these pollutants directly into...

  3. Roads Near Streams

    Data.gov (United States)

    U.S. Environmental Protection Agency — Roads are a source of auto related pollutants (e.g. gasoline, oil and other engine fluids). When roads are near streams, rain can wash these pollutants directly...

  4. Rural road maintenance management

    OpenAIRE

    Johannessen, B.

    1999-01-01

    This manual summarizes relevant Cambodian government policies regarding rural road maintenance. Chapter 2 defines the various components of road maintenance and describes an effective strategy and organization which addresses the maintenance requirements of rural roads in Cambodia. Chapter 3 is a brief description of the planning, implementation and reporting cycle required in an effective road maintenance management system. Chapter 4 summarizes the contracts management procedures, and finall...

  5. Final priorities; National Institute on Disability and Rehabilitation Research--Disability and Rehabilitation Research Projects and Centers Program--Rehabilitation Engineering Research Centers. Final priorities.

    Science.gov (United States)

    2013-06-11

    The Assistant Secretary for Special Education and Rehabilitative Services announces priorities under the Disability and Rehabilitation Research Projects and Centers Program administered by the National Institute on Disability and Rehabilitation Research (NIDRR). Specifically, we announce priorities for a Rehabilitation Engineering Research Center (RERC) on Rehabilitation Strategies, Techniques, and Interventions (Priority 1), Information and Communication Technologies Access (Priority 2), Individual Mobility and Manipulation (Priority 3), and Physical Access and Transportation (Priority 4). The Assistant Secretary may use one or more of these priorities for competitions in fiscal year (FY) 2013 and later years. We take this action to focus research attention on areas of national need. We intend these priorities to improve community living and participation, health and function, and employment outcomes of individuals with disabilities.

  6. Rehabilitation robotics ontology on the cloud.

    Science.gov (United States)

    Dogmus, Zeynep; Papantoniou, Agis; Kilinc, Muhammed; Yildirim, Sibel A; Erdem, Esra; Patoglu, Volkan

    2013-06-01

    We introduce the first formal rehabilitation robotics ontology, called RehabRobo-Onto, to represent information about rehabilitation robots and their properties; and a software system RehabRobo-Query to facilitate access to this ontology. RehabRobo-Query is made available on the cloud, utilizing Amazon Web services, so that 1) rehabilitation robot designers around the world can add/modify information about their robots in RehabRobo-Onto, and 2) rehabilitation robot designers and physical medicine experts around the world can access the knowledge in RehabRobo-Onto by means of questions about robots, in natural language, with the guide of the intelligent userinterface of RehabRobo-Query. The ontology system consisting of RehabRobo-Onto and RehabRobo-Query is of great value to robot designers as well as physical therapists and medical doctors. On the one hand, robot designers can access various properties of the existing robots and to the related publications to further improve the state-of-the-art. On the other hand, physical therapists and medical doctors can utilize the ontology to compare rehabilitation robots and to identify the ones that serve best to cover their needs, or to evaluate the effects of various devices for targeted joint exercises on patients with specific disorders.

  7. The Evolution of Spatial Accessibility of Urban-rural Road Network Based on the Space Syntax in Wuhan Metropolitan Area%基于空间句法的武汉城市圈城乡道路网通达性演化分析

    Institute of Scientific and Technical Information of China (English)

    刘承良; 余瑞林; 段德忠

    2015-01-01

    将空间句法理论与GIS相结合,基于1989~2010年武汉城市圈城乡道路网数据,定量分析城乡道路网发育的空间通达性演化规律:①1989~2010年,城乡道路网拓扑连接位序-规模结构日益发育典型,形成稳定的“金字塔”结构,高等级、高控制力的高通达性轴线发育水平较低,导致整个网络伺服效率和应对“拥堵”能力的低下;②武汉城市圈城乡道路网生长发育具有时空惯性,呈现典型的“核心-边缘”和“等级圈层”复合结构;并生成两条带状城乡交通走廊和多个不同等级有序融合的“轴-辐”网络体系;③城乡道路网这种通达性等级空间格局与圈域城镇体系、交通设施和社会经济发展状况密切相关,尤其是与高速公路为代表的高等级路网发育水平,表现出复杂的共轭协调关系,表现出周期性和螺旋式的空间嬗变,是城乡道路网自组织生长机制支配,以及路网扩张和细分两种内力共同交互作用的结果。%The spatial accessibility has been a prerequisite to the linkage and development of regional integra-tion. The relationship between the spatial evolution of metropolitan area and the development of transport net-work is a kind of spatial interaction. The transport network becomes a material basis and essential prerequisite to the foundation of metropolitan area, and the transport accessibility determines material flow, energy flow and information flow between city and region, and it’s an important gene to the development of metropolitan area. With taking Wuhan metropolitan area as example, this article explores the spatio-temporal evolution of the road network accessibility with the support of space syntax model, GIS technology and statistical analysis method. The basic conclusions are obtained as follows: 1) Pyramid structure shows that the overall level of high-grade road network topology connectivity is relatively low

  8. Automation of Optimized Gabor Filter Parameter Selection for Road Cracks Detection

    Directory of Open Access Journals (Sweden)

    Haris Ahmad Khan

    2016-03-01

    Full Text Available Automated systems for road crack detection are extremely important in road maintenance for vehicle safety and traveler’s comfort. Emerging cracks in roads need to be detected and accordingly repaired as early as possible to avoid further damage thus reducing rehabilitation cost. In this paper, a robust method for Gabor filter parameters optimization for automatic road crack detection is discussed. Gabor filter has been used in previous literature for similar applications. However, there is a need for automatic selection of optimized Gabor filter parameters due to variation in texture of roads and cracks. The problem of change of background, which in fact is road texture, is addressed through a learning process by using synthetic road crack generation for Gabor filter parameter tuning. Tuned parameters are then tested on real cracks and a thorough quantitative analysis is performed for performance evaluation.

  9. Network-level optimization method for road network maintenance programming based on network efficiency

    Institute of Scientific and Technical Information of China (English)

    张林雪; 秦进; 贺钰昕; 叶勇; 倪玲霖

    2015-01-01

    To maintain their capacity, transportation infrastructures are in need of regular maintenance and rehabilitation. The major challenge facing transportation engineers is the network-level policies to maintain the deteriorating roads at an acceptable level of serviceability. In this work, a quantitative transportation network efficiency measure is presented and then how to determine optimally network-level road maintenance policy depending on the road importance to the network performance has been demonstrated. The examples show that the different roads should be set different maintenance time points in terms of the retention capacities of the roads, because the different roads play different roles in network and have different important degrees to the network performance. This network-level road maintenance optimization method could not only save lots of infrastructure investments, but also ensure the service level of the existing transportation system.

  10. Road safety and bicycle usage impacts of unbundling vehicular and cycle traffic in Dutch urban networks

    NARCIS (Netherlands)

    Schepers, Paul; Heinen, Eva; Methorst, Rob; Wegman, Fred

    2013-01-01

    Bicycle-motor vehicle crashes are concentrated along distributor roads where cyclists are exposed to greater volumes of high-speed motorists than they would experience on access roads. This study examined the road safety impact of network-level separation of vehicular and cycle traffic in Dutch urba

  11. Road safety and bicycle usage impacts of unbundling vehicular and cycle traffic in Dutch urban networks.

    NARCIS (Netherlands)

    Schepers, P. Heinen, E. Methorst, R. & Wegman, F.

    2015-01-01

    Bicycle-motor vehicle crashes are concentrated along distributor roads where cyclists are exposed to greater volumes of high-speed motorists than they would experience on access roads. This study examined the road safety impact of network-level separation of vehicular and cycle traffic in Dutch urba

  12. Advances in rehabilitation medicine.

    Science.gov (United States)

    Ng, Yee Sien; Chew, Effie; Samuel, Geoffrey S; Tan, Yeow Leng; Kong, Keng He

    2013-10-01

    Rehabilitation medicine is the medical specialty that integrates rehabilitation as its core therapeutic modality in disability management. More than a billion people worldwide are disabled, and the World Health Organization has developed the International Classification of Functioning, Disability and Health as a framework through which disability is addressed. Herein, we explore paradigm shifts in neurorehabilitation, with a focus on restoration, and provide overviews on developments in neuropharmacology, rehabilitation robotics, virtual reality, constraint-induced therapy and brain stimulation. We also discuss important issues in rehabilitation systems of care, including integrated care pathways, very early rehabilitation, early supported discharge and telerehabilitation. Finally, we highlight major new fields of rehabilitation such as spasticity management, frailty and geriatric rehabilitation, intensive care and cancer rehabilitation.

  13. National Rehabilitation Information Center

    Science.gov (United States)

    ... including News and Notes) Welcome to the National Rehabilitation Information Center! We are conducting improvements to the ... experience. We apologize for any inconvenience The National Rehabilitation Information Center ( NARIC ) is the library of the ...

  14. Overview of Rehabilitation

    Science.gov (United States)

    ... Organ Systems Additional Content Medical News Overview of Rehabilitation By Alex Moroz, MD, FACP, New York University School of Medicine;Rusk Rehabilitation NOTE: This is the Consumer Version. DOCTORS: Click ...

  15. Pipeline rehabilitation planning

    Energy Technology Data Exchange (ETDEWEB)

    Palmer-Jones, Roland; Hopkins, Phil; Eyre, David [PENSPEN (United Kingdom)

    2005-07-01

    An operator faced with an onshore pipeline that has extensive damage must consider the need for rehabilitation, the sort of rehabilitation to be used, and the rehabilitation schedule. This paper will consider pipeline rehabilitation based on the authors' experiences from recent projects, and recommend a simple strategy for planning pipeline rehabilitation. It will also consider rehabilitation options: external re-coating; internal lining; internal painting; programmed repairs. The main focus will be external re-coating. Consideration will be given to rehabilitation coating types, including tape wraps, epoxy, and polyurethane. Finally it will discuss different options for scheduling the rehabilitation of corrosion damage including: the statistical comparison of signals from inspection pigs; statistical comparison of selected measurements from inspection pigs and other inspections; the use of corrosion rates estimated for the mechanisms and conditions; expert judgement. (author)

  16. Rheumatologic rehabilitation: towards recommendations

    Directory of Open Access Journals (Sweden)

    S. Maddali Bongi

    2014-11-01

    Full Text Available Rheumatic patients are highly complex and often affected by chronic diseases. Rehabilitation is generally needed for proper management of the underlying disease. This article describes the characteristics of an effective rheumatologic rehabilitation, takes into account data published in international literature, suggests recommendations based on scientific evidence to develop a correct rehabilitation plan for rheumatic patients and proposes the basis to draw up guidelines in the field of rheumatologic rehabilitation.

  17. Usability evaluation of low-cost virtual reality hand and arm rehabilitation games

    OpenAIRE

    Na Jin Seo, PhD; Jayashree Arun Kumar, MS; Pilwon Hur, PhD; Vincent Crocher, PhD; Binal Motawar, PT, MS; Kishor Lakshminarayanan, MS

    2016-01-01

    The emergence of lower-cost motion tracking devices enables home-based virtual reality rehabilitation activities and increased accessibility to patients. Currently, little documentation on patients' expectations for virtual reality rehabilitation is available. This study surveyed 10 people with stroke for their expectations of virtual reality rehabilitation games. This study also evaluated the usability of three lower-cost virtual reality rehabilitation games using a survey and House of Quali...

  18. Automatic Road Centerline Extraction from Imagery Using Road GPS Data

    Directory of Open Access Journals (Sweden)

    Chuqing Cao

    2014-09-01

    Full Text Available Road centerline extraction from imagery constitutes a key element in numerous geospatial applications, which has been addressed through a variety of approaches. However, most of the existing methods are not capable of dealing with challenges such as different road shapes, complex scenes, and variable resolutions. This paper presents a novel method for road centerline extraction from imagery in a fully automatic approach that addresses the aforementioned challenges by exploiting road GPS data. The proposed method combines road color feature with road GPS data to detect road centerline seed points. After global alignment of road GPS data, a novel road centerline extraction algorithm is developed to extract each individual road centerline in local regions. Through road connection, road centerline network is generated as the final output. Extensive experiments demonstrate that our proposed method can rapidly and accurately extract road centerline from remotely sensed imagery.

  19. Bicycle facilities on road segments and intersections of distributor roads.

    NARCIS (Netherlands)

    2008-01-01

    A sustainably safe road environment requires bicycle facilities that separate motorized traffic from relatively vulnerable road users like cyclists. Research indicates that on distributor roads the road sections with adjoining or separate bicycle tracks are safer than the road sections without any b

  20. Rehabilitation of cancer patients.

    Directory of Open Access Journals (Sweden)

    Pandey M

    2001-01-01

    Full Text Available With the developments in cancer treatment, more and more patients are surviving their disease. However, very little emphasis is being placed to rehabilitate these cancer survivors. Ignorance, social structure, stigma attached in seeking psychological help, and poor communication skills of oncology staff all contribute to poor rehabilitative efforts. The priority of governmental agencies and health efforts to fight rampant communicable diseases, malnutrition, maternal health, and the frequent natural calamities, puts rehabilitation movements in the back seat. Treatment and prevention of disability and its rehabilitation requires comprehensive and multidisciplinary approach. There is an urgent need to promote physical and psychological rehabilitation.

  1. Cancer rehabilitation in Denmark

    DEFF Research Database (Denmark)

    Hansen, Helle Ploug; Tjørnhøj-Thomsen, Tine

    2008-01-01

    A fundamental assumption behind cancer rehabilitation in many Western societies is that cancer survivors can return to normal life by learning to deal with the consequences of their illness and their treatment. This assumption is supported by increasing political attention to cancer rehabilitation...... and a growth in residential cancer-rehabilitation initiatives in Denmark (Danish Cancer Society 1999; Government of Denmark 2003). On the basis of their ethnographic fieldwork in residential-cancer rehabilitation courses, the authors examine the new rehabilitation discourse. They argue that this discourse has...

  2. A Review of Roads Data Development Methodologies

    Directory of Open Access Journals (Sweden)

    Taro Ubukawa

    2014-05-01

    Full Text Available There is a clear need for a public domain data set of road networks with high special accuracy and global coverage for a range of applications. The Global Roads Open Access Data Set (gROADS, version 1, is a first step in that direction. gROADS relies on data from a wide range of sources and was developed using a range of methods. Traditionally, map development was highly centralized and controlled by government agencies due to the high cost or required expertise and technology. In the past decade, however, high resolution satellite imagery and global positioning system (GPS technologies have come into wide use, and there has been significant innovation in web services, such that a number of new methods to develop geospatial information have emerged, including automated and semi-automated road extraction from satellite/aerial imagery and crowdsourcing. In this paper we review the data sources, methods, and pros and cons of a range of road data development methods: heads-up digitizing, automated/semi-automated extraction from remote sensing imagery, GPS technology, crowdsourcing, and compiling existing data sets. We also consider the implications for each method in the production of open data.

  3. Stroke rehabilitation in Canada: a work in progress.

    Science.gov (United States)

    Teasell, Robert; Meyer, Matthew J; Foley, Norine; Salter, Katherine; Willems, Deb

    2009-01-01

    Stroke rehabilitation in Canada continues to function under models and practices that have changed little in the last four decades and struggles to implement new evidence-based or best practices. Ontario, Canada's largest province, has had a coordinated stroke strategy since 2000. The Ontario Stroke System has developed an extensive infrastructure of research syntheses, consensus panel recommendations, practice guidelines, standards of care, and centralized data collection across the continuum of stroke care. This has produced a solid foundation upon which an evidence-based stroke rehabilitation system can be developed. However, failure to invest in stroke rehabilitation or provide incentives to implement change has resulted in the stroke rehabilitation system and critical outcomes remaining largely unchanged. Improvements in time to admission have been countered by rising admission FIM scores such that severe stroke patients often cannot access the stroke rehabilitation system. Many stroke patients are still rehabilitated on general rehabilitation units, therapy intensities remain unacceptably low, and many outpatient programs are being reduced or even closed. Although there are pockets of innovation, the stroke rehabilitation system continues to function more according to traditional ways of practicing. The hope is that with appropriate investments and incentives, Canadians and Ontarians can build upon the existing infrastructure to ensure stroke patients receive optimal rehabilitative care based on best evidence. In the meantime, stroke rehabilitation in Canada remains a work in progress.

  4. Organization of rehabilitation services.

    Science.gov (United States)

    Graham, Laura A

    2013-01-01

    In the past 20 years there have been many changes in the way that neurological rehabilitation is delivered worldwide. This is in part a reflection of improved acute medical therapies and intensive care and also related to the development of a more holistic approach to recovery, embracing the principles of the WHO International Classification of Functioning as a model for rehabilitation. Traditionally, rehabilitation services have tended to develop piecemeal according to local resources and need. By definition such services should be driven by a patient-centered approach and thus there is wide variety in service provision nationally and internationally. This chapter describes the background to current service set-ups and provision, exploring models of rehabilitation delivery and common presentations in neurological rehabilitation. Relevant legislation and guidance documents are reviewed. The text provides an overview of different aspects of rehabilitation services including acute and inpatient provision, outpatient services, community-based rehabilitation, residential facilities, and vocational services.

  5. Advances in wearable technology for rehabilitation.

    Science.gov (United States)

    Bonato, Paolo

    2009-01-01

    Assessing the impact of rehabilitation interventions on the real life of individuals is a key element of the decision-making process required to choose a rehabilitation strategy. In the past, therapists and physicians inferred the effectiveness of a given rehabilitation approach from observations performed in a clinical setting and self-reports by patients. Recent developments in wearable technology have provided tools to complement the information gathered by rehabilitation personnel via patient's direct observation and via interviews and questionnaires. A new generation of wearable sensors and systems has emerged that allows clinicians to gather measures in the home and community settings that capture patients' activity level and exercise compliance, the effectiveness of pharmacological interventions, and the ability of patients to perform efficiently specific motor tasks. Available unobtrusive sensors allow clinical personnel to monitor patients' movement and physiological data such as heart rate, respiratory rate, and oxygen saturation. Cell phone technology and the widespread access to the Internet provide means to implement systems designed to remotely monitor patients' status and optimize interventions based on individual responses to different rehabilitation approaches. This chapter summarizes recent advances in the field of wearable technology and presents examples of application of this technology in rehabilitation.

  6. Characterization of Jos City Road Network, Nigeria

    Directory of Open Access Journals (Sweden)

    Olumide Akinwumi Oluwole

    2014-12-01

    Full Text Available ἀe performance of road network depends on its topological characteristics which help to deḀne its connectiv-ity. ἀis paper analyses the topological characteristic of Jos city road network and its bearing on traᴀc ᰀow situations. Simple graph theoretic measures oᬀered the framework on which the problem was approached. ἀe study requires the abstraction and analysis of the topological structure by selection of certain variables relating to the road connectivity. ἀese include the Beta, Gamma and Alpha index, the PI, Cyclomatic number, and the spread and density of the network. Information on these variables was obtained through the use of vector data model to abstract the road network graph from the Quick-bird satellite imagery used for the study. Results of the Ḁndings reveal that, the road network of Jos City Centre as a whole have achieved an average level of connectivity, showing Beta index values of 1.4049, Gamma index value of 47.06%, Alpha index Value of 20.63%; and a pi and cyclomatic number of 24.74 and 165 respectively, the spread of the network is moderate exhibiting a value of 23, even though some areas have more concentration of roads than the others; and has a road density of 52 links per km2. Based on these Ḁndings, the need for construction of new roads is imperative so as to improve the eᴀciency of connectivity and accessibility within the city.

  7. Roads In and Surrounding Cedar Breaks National Monument, Utah (roads)

    Data.gov (United States)

    National Park Service, Department of the Interior — This coverage contains those transportation routes from the Dixie's d2_travel_rte coverage that were calculated road = 'Road'. The Dixie National Forest Road...

  8. Relatos da equipe de saúde quanto às práticas educativas ao vitimado no trânsito durante a hospitalização/reabilitação num hospital de emergência Health care team's reports on educational practices for road traffic victims during hospitalization/rehabilitation in an emergency hospital

    Directory of Open Access Journals (Sweden)

    Luiza Jane Eyre de Souza Vieira

    2010-03-01

    Full Text Available O objetivo deste estudo foi analisar os relatos da equipe de saúde quanto às práticas educativas ao vitimado no trânsito durante a hospitalização/reabilitação, visando à minimização da instalação de sequelas traumato-ortopédicas. Este estudo foi realizado com 10 profissionais da equipe de saúde que trabalham em um hospital público de emergência em Fortaleza, Ceará, Brasil, em 2006. A entrevista semiestruturada foi a técnica utilizada para a coleta de dados, os quais foram submetidos à análise temática e discutidos à luz da Educação em Saúde e Promoção da Saúde. Para os participantes, a concepção sobre a prática educativa convergiu para o caráter preventivo, informacional e normativo; a equipe de saúde, apesar de não exercer o processo de assistência terapêutica integral e humanizada, alguns profissionais da equipe de saúde desenvolvem de forma tímida a prática educativa, desmitificando a Promoção da Saúde como foco da atenção primária. Desse modo, a reorientação da prática da equipe de saúde, com enfoque interdisciplinar à vítima de acidente de trânsito, pode ser um diferencial para minimizar a instalação de sequelas.The paper aims at analyzing the health care team's reports on educational practices to road traffic victims during the period of hospitalization and rehabilitation, trying to reduce traumatic orthopedic sequelae. The study was carried out with 10 professionals from the health care team who work in a public emergency hospital in the city of Fortaleza, State of Ceará, Brazil, in 2006. The semi-structured interview was the technique for collecting data and these were submitted to thematic analysis and then discussed in the light of Health Education and Health Promotion. To the participants, the conception of educational practice converged to a preventive, informational, and normative approach; although the health care team did not accomplish with integrality and humanization the

  9. Roads to Safety.

    Science.gov (United States)

    Hauer, Ezra

    1991-01-01

    Contends that the level of safety built into roads is largely unpremeditated and that roads and highways are not as safe as they might be. Discusses practices, standards, and deficiencies in highway and traffic safety related to geometric design and traffic engineering. Recommends increased transportation engineering professionalism and public…

  10. Vehicular road influence areas

    Science.gov (United States)

    Huertas, María E.; Huertas, José I.; Valencia, Alexander

    2017-02-01

    Vehicle operation over paved and unpaved roads is an emission source that significantly contributes to air pollution. Emissions are derived from vehicle exhaust pipes and re-suspension of particulate matter generated by wind erosion and tire to road surface interactions. Environmental authorities require a methodology to evaluate road impact areas, which enable managers to initiate counter-measures, particularly under circumstances where historic meteorological and/or air quality data is unavailable. The present study describes an analytical and experimental work developed to establish a simplified methodology to estimate the area influenced by vehicular roads. AERMOD was chosen to model pollutant dispersion generated by two roads of common attributes (straight road over flat terrain) under the effects of several arbitrary chosen weather conditions. The resulting pollutant concentration vs. Distance curves collapsed into a single curve when concentration and distance were expressed as dimensionless numbers and this curve can be described by a beta distribution function. This result implied that average concentration at a given distance was proportional to emission intensity and that it showed minor sensitivity to meteorological conditions. Therefore, road influence was defined by the area adjacent to the road limited by distance at which the beta distribution function equaled the limiting value specified by the national air quality standard for the pollutant under consideration.

  11. Road crash costs.

    NARCIS (Netherlands)

    2010-01-01

    Road crashes result in all kinds of social costs, such as medical costs, production loss, human losses, property damage, settlement costs and costs due to congestion. Studies into road crash costs and their trends are carried out quite regularly. In 2009, the costs amounted to € 12.5 billion, or 2.2

  12. Rehabilitating torture survivors

    DEFF Research Database (Denmark)

    Sjölund, Bengt H; Kastrup, Marianne; Montgomery, Edith;

    2009-01-01

    , "Rehabilitating Torture Survivors", was organized by the Rehabilitation and Research Centre for Torture Victims (a rehabilitation clinic and global knowledge and research centre with government support) in collaboration with the Centre for Transcultural Psychiatry at Rigshospitalet in Copenhagen, Denmark...... to rehabilitation, but scientifically rigorous studies of comprehensive rehabilitation programmes for torture survivors are lacking. Therefore, effect studies are urgently warranted. Nevertheless, by combining expertise from different scientific and professional areas, important elements in the problems of torture...... survivors can be addressed from an evidence base generated both from traumatized and non-traumatized patient populations. Thus, trauma-focused cognitive behavioural therapy and/or eye movement desensitization and reprocessing, as well as interdisciplinary pain rehabilitation, should be components...

  13. Psychiatrists and psychiatric rehabilitation.

    Science.gov (United States)

    Torrey, William C; Green, Ronald L; Drake, Robert E

    2005-05-01

    Interventions that focus directly on functional impairments related to mental illnesses are termed psychiatric rehabilitation. Research demonstrates that rehabilitation services are increasingly able to help adults with psychiatric disabilities achieve the functional outcomes they desire, particularly in the areas of housing and employment. To support the community lives of adults with severe mental illnesses, psychiatrists must stay current with advances in this field and know how to integrate psychiatric rehabilitation with other interventions. This article reviews the concept of psychiatric rehabilitation, current approaches in the field, the psychiatrist's role in these services, and implications for psychiatric training and continuing education.

  14. Cold Roller-Compacted Concrete for Roads and Hardstands on Army Installations in Cold Regions

    Science.gov (United States)

    2010-09-01

    Barna, and Charles Smith Cold Regions Research and Engineering Laboratory U.S. Army Engineer Research and Development Center 72 Lyme Road Hanover...and G. L. Anderton. 2009. Proceedings of the Sixth International Conference on Maintenance and Rehabilitation of Pavements and Technological Control...Development Center Cold Regions Research and Engineering Laboratory 72 Lyme Road, Hanover, NH 03755-1290; Peltz Companies, Inc. 1016 Flack Avenue

  15. Perceptions of cardiac rehabilitation patients, specialists and rehabilitation programs regarding cardiac rehabilitation wait times

    Directory of Open Access Journals (Sweden)

    Grace Sherry L

    2012-08-01

    Full Text Available Abstract Background In 2006, the Canadian Cardiovascular Society (CCS Access to Care Working Group recommended a 30-day wait time benchmark for cardiac rehabilitation (CR. The objectives of the current study were to: (1 describe cardiac patient perceptions of actual and ideal CR wait times, (2 describe and compare cardiac specialist and CR program perceptions of wait times, as well as whether the recommendations are appropriate and feasible, and (3 investigate actual wait times and factors that CR programs perceive to affect these wait times. Methods Postal and online surveys to assess perceptions of CR wait times were administered to CR enrollees at intake into 1 of 8 programs, all CCS member cardiac specialists treating patients indicated for CR, and all CR programs listed in Canadian directories. Actual wait times were ascertained from the Canadian Cardiac Rehabilitation Registry. The design was cross-sectional. Responses were described and compared. Results Responses were received from 163 CR enrollees, 71 cardiac specialists (9.3% response rate, and 92 CR programs (61.7% response rate. Patients reported that their wait time from hospital discharge to CR initiation was 65.6 ± 88.4 days (median, 42 days, while their ideal median wait time was 28 days. Most patients (91.5% considered their wait to be acceptable, but ideal wait times varied significantly by the type of cardiac indication for CR. There were significant differences between specialist and program perceptions of the appropriate number of days to wait by most indications, with CR programs perceiving shorter waits as appropriate (p  Conclusions Wait times following access to cardiac rehabilitation are prolonged compared with consensus recommendations, and yet are generally acceptable to most patients. Wait times following percutaneous coronary intervention in particular may need to be shortened. Future research is required to provide an evidence base for wait time

  16. Cities as Organisms: Allometric Scaling of Urban Road Networks

    Directory of Open Access Journals (Sweden)

    Horacio Samaniego

    2008-07-01

    Full Text Available We propose a statistical approach to determine the features of urban road networks affecting accessibility. Our approach is inspired by metabolic scaling theory (MST in biology (West et al. 1997.We study the structure of road networks across 425 cities of different sizes in the USA. We show decentralization as an important difference between urban road networks and biological vascular networks. Per capita road capacity is independent of the spatial extent of cities. Driving distances do depend on the size of the city, although not as much as is predicted by a completely centralized model. This intermediate pattern between centralized and decentralized extremes may reflect a mixture of different travel behaviors.The approach presented here offers a novel macroscopic perspective on the differences between small and large cities and on how the road infrastructure and traffic might change as cities grow.

  17. [Guideline "Cancer rehabilitation"].

    Science.gov (United States)

    van den Berg, Jan-Paul; Velthuis, Miranda J; Gijsen, Brigitte C M; Lindeman, Eline; van der Pol, Marjolein A; Hillen, Harry F P

    2011-01-01

    Initiated by IKNL (Integraal Kankercentrum Nederland), a multidisciplinary guideline for cancer rehabilitation for adult oncology patients has been developed. The guideline describes the rehabilitation care of adult patients with cancer, during and after treatment. The guideline focuses on (a) prevalence of complaints either resulting from cancer or the treatment, (b) detection of these complaints and indicated referral, (c) the intake procedure before cancer rehabilitation, (d) intervention and evaluation within cancer rehabilitation and (e) the importance of patient empowerment. The guideline is directed at all professionals giving care to patients with cancer. It concerns those (such as medical specialists, general practitioners and nurses) who are responsible for detecting cancer-related complaints and for referral to cancer rehabilitation, as well as health care professionals involved in cancer rehabilitation care (such as consultants in rehabilitation medicine, physiotherapists and psychologists). The main goal of the guideline is that every cancer patient or ex-cancer patient with (residual) complaints resulting from cancer or its treatment receives timely and appropriate cancer rehabilitation.

  18. Rehabilitation of Female Prisoners

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    CHINESE women imprisoned for various crimes undergo a reeducation and rehabilitation program which often results in repentance for past wrongdoings, and providing an avenue for them to make a fresh start. Female prisoners study general education courses, learn basic legal concepts and working skills as part of a rehabilitation program that helps reintigrate them into society upon release.

  19. Taos County Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Vector line shapefile under the stewardship of the Taos County Planning Department depicting roads in Taos County, New Mexico. Originally under the Emergency...

  20. Road Works Ahead

    Institute of Scientific and Technical Information of China (English)

    Gertrude Majyambere

    2011-01-01

    @@ CHINA will invest about $532 million in Rwanda this year, mainly targeting critical economic engines such as building roads and vocational schools, said Shu Zhan, Chinese Ambassador to Rwanda, in early February.

  1. Township Administered Roads

    Data.gov (United States)

    Minnesota Department of Natural Resources — This data set contains roadway centerlines for township administered roads found on the USGS 1:24,000 mapping series. In some areas, these roadways are current...

  2. Socially differentiated cardiac rehabilitation

    DEFF Research Database (Denmark)

    Meillier, Lucette Kirsten; Nielsen, Kirsten Melgaard; Larsen, Finn Breinholt;

    2012-01-01

    to a standard rehabilitation programme (SRP). If patients were identified as socially vulnerable, they were offered an extended version of the rehabilitation programme (ERP). Excluded patients were offered home visits by a cardiac nurse. Concordance principles were used in the individualised programme elements......%. Patients were equally distributed to the SRP and the ERP. No inequality was found in attendance and adherence among referred patients. Conclusions: It seems possible to overcome unequal referral, attendance, and adherence in cardiac rehabilitation by organisation of systematic screening and social......Aim: The comprehensive cardiac rehabilitation (CR) programme after myocardial infarction (MI) improves quality of life and results in reduced cardiac mortality and recurrence of MI. Hospitals worldwide face problems with low participation rates in rehabilitation programmes. Inequality...

  3. Rehabilitation and multiple sclerosis

    DEFF Research Database (Denmark)

    Dalgas, Ulrik

    2011-01-01

    In a chronic and disabling disease like multiple sclerosis, rehabilitation becomes of major importance in the preservation of physical, psychological and social functioning. Approximately 80% of patients have multiple sclerosis for more than 35 years and most will develop disability at some point...... of their lives, emphasising the importance of rehabilitation in order to maintain quality of life. An important aspect of multiple sclerosis rehabilitation is the preservation of physical functioning. Hot topics in the rehabilitation of physical function include (1) exercise therapy, (2) robot-assisted training...... and (3) pharmacological interventions. Exercise therapy has for many years been a controversial issue in multiple sclerosis rehabilitation and the advice generally given to patients was not to participate in physical exercise, since it was thought to lead to a worsening of symptoms or fatigue. However...

  4. Road Gregory closed between 18 and 22 August

    CERN Multimedia

    2003-01-01

    A first intervention in the refurbishment of the "Château d'Eau" (bldg. 227) on Meyrin site will be carried out between the 18th and 22nd August. The work requires the use of a mobile crane to be installed in the Road Gregory and therefore this road shall be closed to traffic during the works. Please use the roads Fermi and Rutherford. Buildings 606 and 598 will be accessible as usual. We apologize for the inconvenience. M. Nonis / Tel. 72701

  5. Kilburn High Road Revisited

    Directory of Open Access Journals (Sweden)

    Cristina Capineri

    2016-07-01

    Full Text Available Drawing on John Agnew’s (1987 theoretical framework for the analysis of place (location, locale and sense of place and on Doreen Massey’s (1991 interpretation of Kilburn High Road (London, the contribution develops an analysis of the notion of place in the case study of Kilburn High Road by comparing the semantics emerging from Doreen Massey’s interpretation of Kilburn High Road in the late Nineties with those from a selection of noisy and unstructured volunteered geographic information collected from Flickr photos and Tweets harvested in 2014–2015. The comparison shows how sense of place is dynamic and changing over time and explores Kilburn High Road through the categories of location, locale and sense of place derived from the qualitative analysis of VGI content and annotations. The contribution shows how VGI can contribute to discovering the unique relationship between people and place which takes the form given by Doreen Massey to Kilburn High Road and then moves on to the many forms given by people experiencing Kilburn High Road through a photo, a Tweet or a simple narrative. Finally, the paper suggests that the analysis of VGI content can contribute to detect the relevant features of street life, from infrastructure to citizens’ perceptions, which should be taken into account for a more human-centered approach in planning or service management.

  6. Arrive alive: road safety in Kenya and South Africa.

    Science.gov (United States)

    Lamont, Mark; Lee, Rebekah

    2015-04-01

    This article is among the first historical considerations of road safety in Africa. It argues that race and class, as colonial dualisms, analytically frame two defining moments in the development of African automobility and its infrastructure-"Africanization" in the first decade of Kenya's political independence from Britain, 1963-75, and democratization in postapartheid South Africa. We argue that recent road safety interventions in both countries exemplify an "epidemiological turn" influenced by public health constructions of the HIV/AIDS epidemic. African states' framing of road safety in behaviorist terms has obscured larger debates around redressing the historical legacies of racialized access to roads and the technopolitics of African automobility. Civic involvement in road safety initiatives has tended to be limited, although the specter of road carnage has entered into the public imagination, largely through the death of high profile Africans. However, some African road users continue to pursue alternative, and often culturally embedded, strategies to mitigate the dangers posed by life "on the road."

  7. [Pediatric neurology in rehabilitation].

    Science.gov (United States)

    Kurihara, Mana

    2007-07-01

    There are some criteria for administering pediatric rehabilitation, such as (1) plasticity of the child's brain sometimes plays an enormous roles in recovery, (2) on the other hand, break-down of the child's brain is sometimes worse than expected, (3) rehabilitation should be continued with the prospect that child grows and develops everyday, (4) family members should join their child's rehabilitation. The team approach is very effective for pediatric rehabilitation. The pediatric neurologist will be one of the best members of the team because he/she can manage a disabled child and his/her family members well, and is familiar with a normal child's development. Rehabilitation should be performed appropriates, which means that the child is evaluated first, a rehabilitation program is developed and rehabilitation is implemented. The World Health Organization published the International Classification of Functioning, Disability and Health (ICF), which moves away from being a "consequence of disease" classification to "components of health". The concept of disability is changing.

  8. Evaluation of Fadama II Road Infrastructure among Rural Communities in Adamawa State, Nigeria

    Directory of Open Access Journals (Sweden)

    Umar Adamu Madu

    2012-06-01

    Full Text Available This study analyzed the role played by Fadama II on road development in Adamawa State, Nigeria. The data were obtained from 300 respondents who were randomly selected from Fadama II beneficiaries, non-beneficiaries within Fadama II communities and non-beneficiaries outside Fadama II communities. Based on propensity score matching (PSM and double difference estimator (DD, the data were analyzed using frequencies, percentages and balancing test (t-test. The results showed that 30% of the roads were funded by Fadama II Project. Most of the roads were constructed and rehabilitated after the establishment of the project. Fadama II roads were found to be important for the beneficiaries’ activities. The analysis established that beneficiaries’ travel distance, travel time, waiting time and transport fares were reduced relative to non-beneficiaries. Road development has boosted marketing services for both farm and non-farm economic activities. Spill-over effect also manifests in the adjoining communities.

  9. Standards in Neurological Rehabilitation, June 1997

    Directory of Open Access Journals (Sweden)

    Michael P. Barnes

    1997-01-01

    Full Text Available The European Federation of Neurological Societies (EFNS Scientific Panel on Neurorehabilitation established a Task Force on standards in neurological rehabilitation in June 1996. The remit for the Task Force was to: (1 produce a report on the state of neurological rehabilitation across Europe; and (2 recommend standards for the provision of neurological services for disabled people. The main conclusions of the Task Force were as follows: (1 A questionnaire circulated to each European member country has indicated a significant lack of adequate neurological rehabilitation facilities across Europe. Very few countries have any established network of neurological rehabilitation centres. Few countries have adequately trained neurological rehabilitation physicians, therapists or nurses. Such poor facilities should be seen in the context of the large numbers and increasing prevalence of people with neurological disabilities. (2 The Task Force has summarized the significant benefits that can follow from the establishment of a dedicated and cost effective neurological rehabilitation service including functional improvement, reduction of unnecessary complications, better coordination and use of limited resources, improved opportunities for education, training and research and a clear point of contact for the disabled person. (3 The Task Force recommends minimum standards for the prevention of neurological disability including access to health education, genetic counselling and emergency resources. The Task Force also encourages governments to invest in improved legislation for accident prevention. (4 The Task Force has outlined some minimum standards for the staffing of a neurological rehabilitation service including improved training both for neurologists and rehabilitation physicians. Such training could include a cross-national training programme both for physicians and other health care staff. (5 The Task Force supports a two-tier system of

  10. Motivational Rehabilitation using Serious Games

    OpenAIRE

    Antoni Jaume i Capó; Javier Varona Gómez; Gabriel Moyà; Francisco Perales

    2013-01-01

    Research studies show that serious games help to motivate users in rehabilitation processes, and rehabilitation results are better when users are motivated. In long term rehabilitation for maintaining capacities, the demotivation of chronic patients is common. In this work, we have implemented balance rehabilitation video game for cerebral palsy patients. The video game was developed using the prototype development paradigm and following desirable features for rehabilitation serious games pre...

  11. Psychiatric rehabilitation education for physicians.

    Science.gov (United States)

    Rudnick, Abraham; Eastwood, Diane

    2013-06-01

    As part of a rapidly spreading reform toward recovery-oriented services, mental health care systems are adopting Psychiatric/Psychosocial Rehabilitation (PSR). Accordingly, PSR education and training programs are now available and accessible. Although psychiatrists and sometimes other physicians (such as family physicians) provide important services to people with serious mental illnesses and may, therefore, need knowledge and skill in PSR, it seems that the medical profession has been slow to participate in PSR education. Based on our experience working in Canada as academic psychiatrists who are also Certified Psychiatric Rehabilitation Practitioners (CPRPs), we offer descriptions of several Canadian initiatives that involve physicians in PSR education. Multiple frameworks guide PSR education for physicians. First, guidance is provided by published PSR principles, such as the importance of self-determination (www.psrrpscanada.ca). Second, guidance is provided by adult education (andragogy) principles, emphasizing the importance of addressing attitudes in addition to knowledge and skills (Knowles, Holton, & Swanson, 2011). Third, guidance in Canada is provided by Canadian Medical Education Directives for Specialists (CanMEDS) principles, which delineate the multiple roles of physicians beyond that of medical expert (Frank, 2005) and have recently been adopted in Australia (Boyce, Spratt, Davies, & McEvoy, 2011).

  12. Consumer Involvement in Rehabilitation

    Science.gov (United States)

    Daniels, Susan

    1976-01-01

    With the emphasis on consumer involvement in the Rehabilitation Act of 1973, changes in the counseling relationship must occur. This article discusses new interaction patterns for consumer and counselor. (Author)

  13. [Dermato-oncological rehabilitation].

    Science.gov (United States)

    Buhles, N; Sander, C

    2005-07-01

    National insurance companies in Germany support health cures for patients with malignant tumors (malignant melanoma, squamous cell carcinoma, Merkel cell tumor, malignant cutaneous lymphoma). The clinical requirements are an invasively growing tumor, problems of self-assurance, and dis-integration of the patient regarding his social and/or professional environment. The decision for a health cure is made by the treating dermatologist in the hospital. In this context, the following sociomedical criteria should be applied: impairment, disability, and handicap. Usually, rehabilitation starts after the patient is discharged from the hospital. The inpatient rehabilitation program should be performed at an institution capable of providing dermatological and psychological treatment. The dermatologist acts as a manager for the members of the rehabilitation team (psychologists, physiotherapists, social workers, and ergo-therapists). In conclusion, dermato-oncologic rehabilitation plays an important role in re-integrating the patient into his professional life to avoid retirement.

  14. Silk Road policy

    Energy Technology Data Exchange (ETDEWEB)

    Nishikawa, Y. [Mitsui Mineral Development Engineering Co., Tokyo (Japan)

    1999-04-01

    Landlocked Asia is blessed with rich mineral and energy resources and has great potential to supply these resources to Europe and eastern Asia. With globalisation of markets progressing rapidly, central Asia is now in the spotlight for its economic activity, as a route for international trade and as the heartland of the `Modern Silk Road` of the 21st century. The article discusses the mineral resources of central Asia, covering Kazakhstan, Uzbekistan, Turkmenistan, Kyrghystan, Xingjiang, and Mongolia. Energy resources of the region, coal, oil and natural gas, are mentioned. International organizations and industrial companies like Japan are supporting the transformation of these vast largely unexplored areas to market economies. Construction of the New Silk Road has begun, under the UNDP, and improvement of the Silk Road railway is also underway, with Japanese funding. 3 figs.

  15. Roads at Pipe Spring National Monument, Arizona 2006 (roads)

    Data.gov (United States)

    National Park Service, Department of the Interior — This is an Arc/Info coverage consisting of 30 arcs representing the roads in Pipe Spring National Monument, Arizona. Twenty-five of the road arcs were collected by a...

  16. Rehabilitation im Alter

    OpenAIRE

    Meinck, Matthias

    2003-01-01

    Internationale kontrollierte Studien haben die Wirksamkeit geriatrischer Rehabilitation grundsätzlich bestätigt. Die Ergebnisse sind jedoch nur eingeschränkt auf Deutschland übertragbar. Geriatrische Rehabilitation gewinnt in Deutschland aufgrund der demographischen Veränderungen an Bedeutung. Der Vorrang ambulanter vor stationärer Leistungserbringung wurde schon vor einigen Jahren gesetzlich verankert. Der Anteil ambulanter Reha-Maßnahmen an den geriatrischen Reha-Leistungen ist jedoch gerin...

  17. Rehabilitation in the nursing home.

    Science.gov (United States)

    Joseph, C L; Wanlass, W

    1993-11-01

    Despite the considerable challenges to providing high-quality rehabilitation in a long-term care facility, growing demographic and fiscal pressures are likely to push the nursing home into the forefront of rehabilitation for the frail elderly. Model programs have been implemented in recent years that present alternative ways to increase access to skilled services and improve quality of care in nursing homes without a drastic increase in costs. The teaching nursing home program has supported projects to make longterm care facilities centers for education, innovative clinical care, and research, thus bringing nursing homes into the mainstream of the medical establishment. A majority of US medical schools have recognized the need for training in long-term care and have formed affiliations with nursing homes. The Department of Veterans Affairs has a large national system of nursing homes, which has made a significant contribution to the training of health professionals in many fields. Demonstration projects such as the Social Health Maintenance Organization and On Lok have sought to decrease the fragmentation of health care services for the elderly and bring nursing homes into a continuum of care. The adoption of the OBRA regulations is building a base for comprehensive assessment and improved provision of care in nursing homes nationwide. Nursing home rehabilitation has the potential to decrease institutionalization in the short-term resident, whereas maintenance therapy can improve quality of life and decrease the cost of caring for patients who must be institutionalized. But to achieve this potential, significant barriers must be overcome. Negative attitudes about aging and nursing homes percolate through all levels of health care from lack of reimbursement at the federal and state levels to the professional priorities that continue to favor "high-tech" medicine and stigmatize nursing homes and those who work in them, to low expectations of caregivers and the

  18. Off-road cycling injuries. An overview.

    Science.gov (United States)

    Pfeiffer, R P; Kronisch, R L

    1995-05-01

    Off-road bicycles, commonly called 'mountain bikes', have become increasingly popular worldwide since their introduction in the western US in the late 1970s. This popularity is partly because these vehicles can be ridden on a wide variety of terrain which is not accessible to other types of bicycle. Although early versions were rather crude, off-road bicycles today typically include high strength, lightweight frames with a wide array of available suspension and braking systems. Virtually all aspects of the technology continue to evolve, including components and protective equipment. As the popularity of off-road cycling has increased, so too has the interest and level of participation in the competitive aspects of the sport. Currently, 2 organisations--the National Off-Road Bicycle Association (NORBA) and the Union Cycliste Internationale (UCI)--sponsor the major events within the US and around the world. To date, the majority of studies have been descriptive in nature, with data collected via self-report, questionnaire formats. Only 1 prospective study has been reported thus far, which surveyed a major international competition held in the US in 1994. Injury rates calculated on the basis of injuries per ride or event in competitive venues have been reported, ranging from 0.2 to 0.39% compared with 0.30% for recreational participants. Retrospective data collected from recreational and competitive riders indicate that from 20 to 88% of those surveyed reported having sustained an injury during the previous year of participation. The majority of injuries appear to be acute, traumatic episodes involving the extremities, with contusions and abrasions being the most common. In general, the incidence of more severe injuries such as dislocations, fractures and concussions is low. Comparisons between road and off-road cycling events indicate that off-road cyclists sustain more fractures, dislocations and concussions than their road-event counterparts. Future research should

  19. Road crash costs.

    OpenAIRE

    2010-01-01

    Road crashes result in all kinds of social costs, such as medical costs, production loss, human losses, property damage, settlement costs and costs due to congestion. Studies into road crash costs and their trends are carried out quite regularly. In 2009, the costs amounted to € 12.5 billion, or 2.2% of the Gross Domestic Product (GDP). Insight into these costs is used for policy preparation and evaluation, and makes it possible to compare them with costs in other areas. Another important app...

  20. Final priority; Rehabilitation Training: Rehabilitation Long-Term Training program--rehabilitation specialty areas. Final priority.

    Science.gov (United States)

    2014-07-23

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Rehabilitation Training: Rehabilitation Long-Term Training program. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years in order to fund any of the rehabilitation specialty areas listed in this notice. The specific rehabilitation specialty areas to be funded in a given year will be listed in a notice inviting applications. This priority is designed to ensure that the Department funds high-quality rehabilitation programs in the following nine rehabilitation specialty areas of national need: Rehabilitation Administration (84.129C); Rehabilitation Technology (84.129E); Vocational Evaluation and Work Adjustment (84.129F); Rehabilitation of Individuals Who Are Mentally Ill (84.129H); Rehabilitation Psychology (84.129J); Rehabilitation of Individuals Who are Blind or Have Vision Impairments (84.129P); Rehabilitation of Individuals Who are Deaf or Hard of Hearing (84.129Q); Job Development and Job Placement Services (84.129R); and Comprehensive System of Personnel Development (84.129W). These programs must meet rigorous standards in order to provide rehabilitation professionals the training and qualifications necessary to meet the current challenges facing State vocational rehabilitation (VR) agencies and related agencies and assist individuals with disabilities in achieving high-quality employment outcomes.

  1. 78 FR 38840 - Final Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-28

    ... CFR Chapter III Final Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  2. 78 FR 35758 - Final Priority; National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-14

    ... CFR Chapter III Final Priority; National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  3. 78 FR 28543 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-15

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority under the Rehabilitation Research and Training...

  4. 78 FR 34261 - Final Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-07

    ... CFR Chapter III Final Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  5. 78 FR 27038 - Final Priorities; National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-09

    ... CFR Chapter III Final Priorities; National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces priorities for the Disability and Rehabilitation Research Projects and...

  6. 78 FR 26560 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-07

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority for the Rehabilitation Research and Training...

  7. 78 FR 12002 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-02-21

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority for the Rehabilitation Research and Training...

  8. 78 FR 29237 - Final Priority; National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-20

    ... CFR Chapter III Final Priority; National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  9. 77 FR 8234 - National Institute on Disability and Rehabilitation Research-Disability and Rehabilitation...

    Science.gov (United States)

    2012-02-14

    ... National Institute on Disability and Rehabilitation Research-- Disability and Rehabilitation Research... Disability and Rehabilitation Research-- Disability and Rehabilitation Research Projects and Centers Program-- Disability and Rehabilitation Research Project--Center on Knowledge Translation for Disability...

  10. Road safety performance indicators for the interurban road network.

    NARCIS (Netherlands)

    Yannis, G. Weijermars, W.A.M. Gitelman, V. Vis, M. Chazirisa, A. Papadimitriou, E. & Lima Azevedo, C.

    2013-01-01

    Various road safety performance indicators (SPIs) have been proposed for different road safety research areas, mainly as regards driver behaviour (e.g. seat belt use, alcohol, drugs, etc.) and vehicles (e.g. passive safety); however, no SPIs for the road network and design have been developed. The o

  11. VT E911 Road Centerlines

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) EmergencyE911_RDS was originally derived from RDSnn (now called TransRoad_RDS). "Zero-length ranges" in the ROADS layer pertain to grand-fathered...

  12. Road construction in underground mines

    Energy Technology Data Exchange (ETDEWEB)

    Benke, L.; Benkovics, I.

    1985-01-01

    The need and reasons of road construction for rubber-tyre vehicles in various mine sections are examined. A detailed analysis is given of the direct and indirect influences of underground haulage ways and transport roads on the parameters of mine performance. The various mine road construction technologies are overviewed. Experiences are presented with road construction in the Mecsek Ore Mines Company, Plant 3, Hungary. The cost factors of four construction technologies are compared.

  13. Supervising road safety in Peru

    OpenAIRE

    Sagástegui, Freddy; Abogado, Adjuntía para el Medio Ambiente, Servicios Públicos y Pueblos Indígenas, Defensoría del Pueblo. Lima, Perú.

    2010-01-01

    In this article some problems in road safety are described, which have been detected by the Ombudsman of Peru, as part of its role of public administration supervisor, amongst these problems we mention: lack of and inadequate elaboration of the statistics on road traffic accidents, the inconsistency of the National Council for Road Security and the lack of responsibility of the local and regional governments reflected by the lack of application of the National Plan of Road Safety. facing ...

  14. EARTH ROADS ARE EASY

    Directory of Open Access Journals (Sweden)

    David O. Whitten

    2000-01-01

    Full Text Available The earliest European immigrants in America traveled on waterways and on pathways worn into the earth by animals and Native Americans. Once their communities began to thrive, settlers widened paths and cleared new roads and streets then began experimenting with inexpensive surfacing to reduce dust in dry weather and mud in wet. “Earth Roads Are Easy” investigates materials and techniques used to maintain primitive thoroughfares with a minimum of effort and expense. The options range from the mundane—clay, sand, gravel, calcium chloride, oil, and tar—to the extraordinary—water glass, adobe clay, beet juice, and carpeting.There is no more dfficult problem confronting highway engineers than that of properly constructing and maintaining an earth road. The work may be less spectacular than the construction and maintenance of hard-surfaced roads, but there is greater latitude in location, methods of construction and choice of materials, consequently there is more scope for the exercise of sound judgment on the part of the engineer.1

  15. The Road Home

    Science.gov (United States)

    O'Shaughnessy, Molly

    2016-01-01

    "Children have the potential to create a world we cannot imagine. This is our hope." In choosing Montessori, O'Shaughnessy says that we are choosing the road less traveled. We are choosing education as an aid to life. We are choosing an approach that respects the innate and unique potential of each child and that calls upon us to serve…

  16. The great West Road

    CERN Multimedia

    1975-01-01

    From right to centre the 'Nationale 84' relying Meyrin to Saint-Genis. The fence limits Lab I on that side. From bottom the road leading to the double inclined tunnel linking Lab I and Lab II. On the foreground the ISR building (left) and the West Hall (centre).

  17. Road-rail vehicle

    NARCIS (Netherlands)

    Evers, J.J.M.

    2002-01-01

    A transport vehicle equipped with a number of first wheel sets, having wheels provided with tires, to which steering means and driving means, if any, are coupled to enable the transport vehicle to be moved over a road surface. The transport vehicle further comprises at least one second wheel set, ha

  18. Current perspectives and emerging issues on cancer rehabilitation.

    Science.gov (United States)

    Stubblefield, Michael D; Hubbard, Gill; Cheville, Andrea; Koch, Uwe; Schmitz, Kathryn H; Dalton, Susanne Oksbjerg

    2013-06-01

    Cancer rehabilitation is a rapidly emerging and evolving medical field in both Europe and the United States, in large part because of increases in the number of cancer survivors. Although few argue with the need to restore function and quality of life to patients affected by cancer and its treatments, differences exist between European countries with regard to the funding, accessibility, and even the definition of cancer rehabilitation services. In the United States, there is tremendous variability in the provision of rehabilitation services resulting from a variety of factors, including a lack of highly trained cancer rehabilitation physicians and therapists as well as a lack of comprehensive cancer rehabilitation programs, even at the majority of top cancer centers. Although studies evaluating the effectiveness of rehabilitation programs in the cancer setting, particularly exercise, have influenced clinical decision-making in both Europe and the United States for some time, this emerging evidence base also is now starting to influence guideline and policy making. Coordinated research efforts are essential to establish a robust framework to support future investigation and establish shared initiatives. Determining the best way forward for cancer survivors will require investment in large-scale prospective cohort studies that sufficiently describe their rehabilitation needs through the continuum of the survivorship experience.

  19. Road and Street Centerlines, Roads, road surfaces, Published in 2009, Central College.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — , was produced all or in part from Not Provided information as of 2009. It is described as 'Roads, road surfaces'. Data by this publisher are often provided in UTM...

  20. 76 FR 15964 - Funding Priorities: Disability and Rehabilitation Research Projects and Centers Program

    Science.gov (United States)

    2011-03-22

    ... activities, including international activities, to develop methods, procedures, and rehabilitation technology... among students with disabilities, access to healthcare services among people with disabilities, and... outcome by-- (1) Combining or adapting knowledge translation approaches from the existing literature...

  1. Roads used on farm owned by Open Space Institute and leased to Roxbury Farm.

    Data.gov (United States)

    National Park Service, Department of the Interior — This line file represents the major roads used to access Roxbury Farm and the farm fields. This shapefile is part of a project called Biological Surveys at the...

  2. Games for Rehabilitation: Wii-based Movement Therapy Improves Poststroke Movement Ability.

    Science.gov (United States)

    McNulty, Penelope A

    2012-10-01

    Stroke is the leading cause of adult-acquired motor disability. The greatest impediments to poststroke rehabilitation are access and patient compliance. Wii-based Movement Therapy was developed as an alternative to conventional and virtual reality therapies to overcome issues of rehabilitation access, cost, and patient compliance. Its success is evident by high levels of re-engagement in the community post-therapy.

  3. Skilled nursing or rehabilitation facilities

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000435.htm Skilled nursing or rehabilitation facilities To use the sharing features ... facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your health care provider may ...

  4. Ragged Chute rehabilitation project

    Energy Technology Data Exchange (ETDEWEB)

    Kemp, Paul; Slopek, Richard [Canadian Projects Ltd., Calgary, (Canada); Guzwell, Robert [TransAlta, Calgary, (Canada)

    2010-07-01

    The Ragged Chute development, located in northern Ontario, was originally constructed to provide compressed air to a local silver mining company. It was composed of a free overflow spillway, the air plant intake, a concrete gravity retaining wall and an earthfill dyke abutment. The advantage of the river flow and the head developed by the dam for the air plant was recently put to use by the addition of a hydro plant. This paper provided an overview of the use of the river flow over the years and described the recent rehabilitation work being done to upgrade the installations to current dam safety standards. Site inspections were carried out in 2006 as part of the dam safety review to assess the overall condition of the structures. The major operation of the rehabilitation work involved the upgrading of the original fixed crest spillway with a new labyrinth spillway structure. Canadian Hydro completed the dam safety safety rehabilitation work by October 2009.

  5. Comprehensive cardiac rehabilitation

    DEFF Research Database (Denmark)

    Kruse, Marie; Hochstrasser, Stefan; Zwisler, Ann-Dorthe O;

    2006-01-01

    OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed. METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed...... for the situation at hand. Due to challenging circumstances, the cost assessment turned out to be ex-post and top-down. RESULTS: Cost per treatment sequence is estimated to be approximately euro 976, whereas the incremental cost (compared with usual care) is approximately euro 682. The cost estimate is uncertain...... and may be as high as euro 1.877. CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective....

  6. Developments in the uses of foamed bitumen in road pavements

    NARCIS (Netherlands)

    Jenkins, K.J.; Molenaar, A.A.A.; De Groot, J.L.A.; Van de Ven, M.E.C.

    2000-01-01

    Following the lapse in patent rights on foam-producing nozzles, the use of foamed bitumen for the improvement of road construction materials has become more accessible and as a result, it's use increased considerably in the 1990's. In addition, the applications of foamed bitumen process have diversi

  7. Rehabilitation in vestibular system diseases

    Directory of Open Access Journals (Sweden)

    Maksim Valeryevich Zamergrad

    2013-01-01

    Full Text Available Vestibular rehabilitation is an important component of combination treatment in a patient with vertigo. Vestibular rehabilitation is indicated for different diseases of the central or peripheral vestibular system. The goal of vestibular rehabilitation is to ensure gaze stabilization, to train postural stability, and to reduce subjective vertigo. Vestibular rehabilitation is based on the stimulation of vestibular adaptation, sensory substitution, and habituation. Vestibular suppressants, inadequate mobility, anxiety, and depression decelerate vestibular compensation whereas early activation, mobility, and betaserc use accelerate it.

  8. Games for Rehabilitation

    DEFF Research Database (Denmark)

    Petersson, Eva; Brown, David

    This anthology on games for rehabilitation contains a serious chapters on game methods and apps or research that compares game systems or modified games or interface devices (Wii, Eyetoy, Kinect, DDR) applied across all areas of clinical care and clinically focused research.......This anthology on games for rehabilitation contains a serious chapters on game methods and apps or research that compares game systems or modified games or interface devices (Wii, Eyetoy, Kinect, DDR) applied across all areas of clinical care and clinically focused research....

  9. Is road safety management linked to road safety performance?

    Science.gov (United States)

    Papadimitriou, Eleonora; Yannis, George

    2013-10-01

    This research aims to explore the relationship between road safety management and road safety performance at country level. For that purpose, an appropriate theoretical framework is selected, namely the 'SUNflower' pyramid, which describes road safety management systems in terms of a five-level hierarchy: (i) structure and culture, (ii) programmes and measures, (iii) 'intermediate' outcomes'--safety performance indicators (SPIs), (iv) final outcomes--fatalities and injuries, and (v) social costs. For each layer of the pyramid, a composite indicator is implemented, on the basis of data for 30 European countries. Especially as regards road safety management indicators, these are estimated on the basis of Categorical Principal Component Analysis upon the responses of a dedicated road safety management questionnaire, jointly created and dispatched by the ETSC/PIN group and the 'DaCoTA' research project. Then, quasi-Poisson models and Beta regression models are developed for linking road safety management indicators and other indicators (i.e. background characteristics, SPIs) with road safety performance. In this context, different indicators of road safety performance are explored: mortality and fatality rates, percentage reduction in fatalities over a given period, a composite indicator of road safety final outcomes, and a composite indicator of 'intermediate' outcomes (SPIs). The results of the analyses suggest that road safety management can be described on the basis of three composite indicators: "vision and strategy", "budget, evaluation and reporting", and "measurement of road user attitudes and behaviours". Moreover, no direct statistical relationship could be established between road safety management indicators and final outcomes. However, a statistical relationship was found between road safety management and 'intermediate' outcomes, which were in turn found to affect 'final' outcomes, confirming the SUNflower approach on the consecutive effect of each layer.

  10. Competitiveness in Road Transport

    DEFF Research Database (Denmark)

    Borgström, Benedikte; Gammelgaard, Britta; Bruun, Poul

    take into account logistics service supplier strategic management. We also contribute with better understanding of value creation in order to escape commoditization and differentiate services through relationships (customers and/or other hauliers). Practical implications concern hauliers’ strategy...... a competitive value proposition? We will illustrate the strategy-as-practice with two projects, and discuss implications in terms of capabilities needed to create an effective value proposition and hence competitiveness. The theoretical contribution is in theorizing haulier strategic development in which we...... in the market also encourage strategic development of some road hauliers into providers of unique services. Such road haulier strategic development contributes to efficiency and effectiveness in basically all business sectors of EU. Little research is available of such strategic and operational management...

  11. Tweets on the road

    CERN Document Server

    Lenormand, Maxime; Colet, Pere; Ramasco, José J

    2014-01-01

    The pervasiveness of mobile devices, which is increasing daily, is generating a vast amount of geo-located data allowing us to gain further insights into human behaviors. In particular, this new technology enables users to communicate through mobile social media applications, such as Twitter, anytime and anywhere. Thus, geo-located tweets offer the possibility to carry out in-depth studies on human mobility. In this paper, we study the use of Twitter in transportation by identifying tweets posted from roads and rails in Europe between September 2012 and November 2013. We compute the percentage of highway and railway segments covered by tweets in 39 countries. The coverages are very different from country to country and their variability can be partially explained by differences in Twitter penetration rates. Still, some of these differences might be related to cultural factors regarding mobility habits and interacting socially online. Analyzing particular road sectors, our results show a positive correlation b...

  12. Road Traffic Noise

    Science.gov (United States)

    Beckenbauer, Thomas

    Road traffic is the most interfering noise source in developed countries. According to a publication of the European Union (EU) at the end of the twentieth century [1], about 40% of the population in 15 EU member states is exposed to road traffic noise at mean levels exceeding 55 dB(A). Nearly 80 million people, 20% of the population, are exposed to levels exceeding 65 dB(A) during daytime and more than 30% of the population is exposed to levels exceeding 55 dB(A) during night time. Such high noise levels cause health risks and social disorders (aggressiveness, protest, and helplessness), interference of communication and disturbance of sleep; the long- and short-term consequences cause adverse cardiovascular effects, detrimental hormonal responses (stress hormones), and possible disturbance of the human metabolism (nutrition) and the immune system. Even performance at work and school could be impaired.

  13. Environmentally friendly road construction

    Directory of Open Access Journals (Sweden)

    A.I. Essawy

    2013-06-01

    Full Text Available Environmental pollution is a major problem in developing countries like Egypt. Reuse of waste polymers is considered an attractive solution for environmental white pollution and reducing of the costs of road pavement and maintenance. This research aims to prepare environmentally friendly hot mix asphalt (HMA for paving using some industrial wastes as polypropylene and polyester fibers. The solid materials in the mix include normal and highly porous aggregates. 5% and 10% of waste polymers by weight of the asphalt were used to prepare special binders. The samples were tested for their physical properties, chemical properties, aging, scanning electron microscopy (SEM and thermo-gravimetric analysis (TGA. The results revealed that the prepared HMA using 5% of waste polymer had high performance as compared to the ordinary one and the waste polymer could be used in road construction.

  14. The road coloring problem

    CERN Document Server

    Trahtman, A N

    2007-01-01

    The synchronizing word of deterministic automaton is a word in the alphabet of colors (considered as letters) of its edges that maps the automaton to a single state. A coloring of edges of a directed graph is synchronizing if the coloring turns the graph into deterministic finite automaton possessing a synchronizing word. The road coloring problem is a problem of synchronizing coloring of directed finite strongly connected graph with constant outdegree of all its vertices if the greatest common divisor of lengths of all its cycles is one. The problem was posed by Adler, Goodwyn and Weiss over 30 years ago and evoked a noticeable interest among the specialists in theory of graphs, deterministic automata and symbolic dynamics. The problem is described even in "Vikipedia" - the popular Internet Encyclopedia. The positive solution of the road coloring problem is presented.

  15. Snow Roads and Runways

    Science.gov (United States)

    1990-11-01

    CONSTRUCT ROADS FOR MARCHING COLUMNS ALL ARMS (1) Pass over the trace twice with (1) Two passes with the harrow the harrow. and roller. (2) After harrowing...should be accomplished by successive passes with beams or slabs to the towing bars. A method forballasting D-7 orD-8 tractortracks. Normally twoto five... waffle -type snow surface (Fig. 85)and is notas suitable for snow pavement surface has been previously compacted snow compaction as other types of rollers

  16. August: Road Movies

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Eldorado France, 2008 85' Road movie Directed by: Bouly Lanners Cast: Bouly Lanners, Fabrice Adde Philippe Nahon Yvan is an auto salesman who makes a good living dealing in American luxury cars. One evening, Yvan comes home to discover a burglar has made his way into his home, and a quick search reveals the criminal, Elie is hiding under his bed, and when the thief finally emerges he turns out to be a junkie who is feeling the first stages of withdrawal.

  17. Road to the Future: Strategies for Wildlife Crossings and Youth Empowerment to Improve Wildlife Habitat in Roaded Landscapes

    Science.gov (United States)

    Tanner, Dawn Renee

    2010-01-01

    As the footprint of human society expands upon the earth, habitat loss and landscape fragmentation is an increasing global problem. That problem includes loss of native habitats as these areas are harvested, converted to agricultural crops, and occupied by human settlement. Roads increase human access to previously inaccessible areas, encourage…

  18. Assessing Road Traffic Expression

    Directory of Open Access Journals (Sweden)

    Fábio Silva

    2014-12-01

    Full Text Available Road traffic is a problem which is increasing in cities with large population. Unrelated to this fact the number of portable and wearable devices has also been increasing throughout the population of most countries. With this advent, the capacity to monitor and register data about people habits and locations as well as more complex data such as intensity and strength of movements has created an opportunity to contribute to the general wealth and comfort within these environments. Ambient Intelligence and Intelligent Decision Making processes can benefit from the knowledge gathered by these devices to improve decisions on everyday tasks such as deciding navigation routes by car, bicycle or other means of transportation and avoiding route perils. The concept of computational sustainability may also be applied to this problem. Current applications in this area demonstrate the usefulness of real time system that inform the user of certain conditions in the surrounding area. On the other hand, the approach presented in this work aims to describe models and approaches to automatically identify current states of traffic inside cities and use methods from computer science to improve overall comfort and the sustainability of road traffic both with the user and the environment in mind. Such objective is delivered by analyzing real time contributions from those mobile ubiquitous devices to identifying problematic situations and areas under a defined criteria that have significant influence towards a sustainable use of the road transport infrastructure.

  19. Road traffic injuries in Mozambique.

    Science.gov (United States)

    Romão, Francelina; Nizamo, Hanifa; Mapasse, Domingos; Rafico, Momede Mussá; José, João; Mataruca, Simão; Efron, M Lúcia; Omondi, Lucas O; Leifert, Thelma; Bicho, Joaquim M L Marungo

    2003-01-01

    Road traffic injuries affect the economy, health and quality of life of the people of Mozambique. Current road safety programmes are inadequate and inefficient given the magnitude of the problem. Data reported on road traffic crashes in the period 1990 to 2000 from the National Institute for Road Safety, the traffic police and the Central Hospital of Maputo were reviewed. The burden of road traffic injuries in Mozambique is rising, with at least three people killed daily. The age group most affected is 25-38 (39.35%), followed by 16-24 (20.79%). The main causes of crashes include reckless driving, drunken driving, roads with potholes, inadequate signs, lack of protection for pedestrians, and inadequate traffic law enforcement. However, the data are not adequate to reveal the true magnitude of the problem. Data collected by different sources are incomplete and not coordinated with other sources and databases. In urban areas, however, better response to crashes, treatment of the injured, reporting and data collection is attributable to a greater concentration of police and medical facilities. Road traffic safety programmes in Mozambique are inadequate and inefficient, starting with the data collection system. Improvement of injury surveillance systems is needed to help make road traffic safety a national development agenda priority and for developing and implementing road safety policies. For road safety programmes to be effective, government must facilitate stakeholders' involvement, and the clear definition of government activities, civil society activities and public-private partnerships need to be established.

  20. The Juvenile Rehabilitation Reader.

    Science.gov (United States)

    Greenwood, Peter W., Ed.; And Others

    This document contains several essays on topics of interest to researchers of rehabilitative efforts. The subjects covered include an historical look at chronic delinquents and their treatment programs; a review of West European programs; legal constraints on intervention; a review of evidence concerning biological contributions to criminality and…

  1. [Quality in rehabilitation].

    Science.gov (United States)

    Jäckel, W H

    2010-12-01

    Particularly in the context of introduction of quality assurance programmes 15 years ago, "quality" became a central issue for rehabilitation, and its importance is bound to grow in the years to come. After giving a general definition of quality, this article deals more closely with 3 aspects of quality: quality development, quality assurance, and data on quality. Quality development in rehabilitation centres demands an atmosphere that supports change, encourages creativity, courage, transparency and involvement, and reduces fear. The creation of such an atmosphere is, in particular, the responsibility of a centre's management. Routine interviews regarding patient as well as employee satisfaction, and the use of strategic planning and management systems have proven successful instruments in the practice of quality development. Compared with other sectors of the health system, quality assurance in rehabilitation is marked by its comprehensive approach, intense patient orientation, scientific underpinning, and nationwide implementation. Regarding the benefits of these programmes for the health system at large, however, no clear scientific proof is available yet. Data gained from quality assurance programmes on the whole show a high amount of patient satisfaction, good quality of structures and processes as well as an improvement of the patients' health status. Between centres, however, there are marked differences of quality in a number of cases, and long-term effectiveness could be improved in some indications. Finally, suggestions are offered concerning further development of quality in rehabilitation as well as of the quality assurance programmes.

  2. Providing rehabilitation online

    DEFF Research Database (Denmark)

    Bødker, Malene; Juul, Annegrete

    2015-01-01

    Purpose – Telecare promises to deliver healthcare services more efficiently while, at the same time, improving the quality of care. The purpose of this paper is to challenge these promises by analysing the implications of introducing telecare in the rehabilitation of patients suffering from chronic...

  3. Crossroads in aphasia rehabilitation

    NARCIS (Netherlands)

    W.M.E. van de Sandt-Koenderman (Mieke)

    2007-01-01

    textabstractThis thesis focusses on two types of aphasia rehabilitation, cognitive linguistic treatment (CLT) and AAC (Augmentative and Alternative Communication) training. In a study of the effect of nonlinguistic variables on the outcome of CLT, it was shown, that neuropsychological data con

  4. The ritualization of rehabilitation

    DEFF Research Database (Denmark)

    Tjørnhøj-Thomsen, Tine; Hansen, Helle Ploug

    2013-01-01

    There is widespread and increasing political interest in devising plans to support people who have or have had cancer to recover and recommence 'normal' lives. Educating cancer patients for this purpose is a central element in cancer rehabilitation in both Europe and the United States. One of the...

  5. Acupuncture and Equine Rehabilitation.

    Science.gov (United States)

    le Jeune, Sarah; Henneman, Kimberly; May, Kevin

    2016-04-01

    Acupuncture is one of the most common veterinary integrative medicine modalities. Acupuncture can greatly contribute to a rehabilitation protocol by promoting analgesia, tissue healing, and muscle strength. Acupuncture is safe, has minimal detrimental side effects, and is well tolerated by most horses.

  6. Optimal Road Capacity Building : Road Planning by Marginal Cost Pricing

    OpenAIRE

    NEMOTO, Toshinori; Misui, Yuki; Kajiwara, Akira

    2009-01-01

    The purpose of this study is to propose a new road planning and financing scheme based on short-term social marginal cost pricing that facilitates the establishment of optimal road standards in the long term. We conducted a simulation analysis based on the proposed planning scheme and observed that the simulation calculated the optimal road capacity in the future, and thus proved that the new planning scheme is feasible.

  7. Road Accident Analysis: A Case Study of Federal Route FT024 Yong Peng- Parit Sulong

    Directory of Open Access Journals (Sweden)

    Mohd Masirin Mohd Idrus

    2016-01-01

    Full Text Available Traffic accidents are considered as an unplanned and unfortunate event which is a serious concern to the community as well as the authority. An accident-counter measure can reduce the rate of road accidents by initially identifying critical locations. The total of road accidents along FT 024 between 2009 and 2012 is 907 cases. Road accidents during the same period range between 24 % and 26 % each year. These accidents killed 34 people and injuring another 101 people. This research aims to identify factors that may contribute to the cause of accidents and to study the effects of speed, volume and road geometry on road accidents. In this study, the locations labelled as km 1, km 2, km 4, km 8, km 5 and km 14 of Federal Route FT 024 Yong Peng – Parit Sulong were selected as the study-case sections based on Accident Point Weightage of ranking, in which each location has different road characteristics. Speed study was carried out at selected road sections to evaluate the influence of speed upon road accidents; and traffic volume count was conducted at the same selected road sections to determine the existing condition of the route. Besides, road geometry observations and measurements were also conducted at selected sections, they were also studied to evaluate influence of road designs upon road accidents. The extracted data were analyzed by using regression analysis on different variables to evaluate the relationship between accident Weightage point and other dependent variables that were considered to have considerable effects upon road accidents such as mean speed, volume, shoulder width, lane width and access point. P value below 0.05 was considered as statistically significant. After conducting data analysis, this study showed that the number of road accidents increases with the increment of speed and access point. On the other hand, volume has no strong relationship to road accidents which means that it may not have an effect on accidents

  8. Rehabilitation time before disability pension

    Directory of Open Access Journals (Sweden)

    Støver Morten

    2012-10-01

    Full Text Available Abstract Background The decision to grant a disability pension is usually the end of a long process of medical examinations, treatment and rehabilitation attempts. This study investigates to what extent the time spent on rehabilitation time prior to disability pension is associated with characteristics of the individual or the local employment and welfare office, measured as municipality variance. Methods A study of 2,533 40 to 42 year olds who received disability pension over a period of 18 years. The logarithm of the rehabilitation time before granting a disability pension was analysed with multilevel regression. Results The rehabilitation time before a disability pension was granted ranged from 30 to 5,508 days. Baseline health characteristics were only moderately associated with rehabilitation time. Younger people and people with unemployment periods had longer rehabilitation time before a disability pension was granted. There were only minor differences in rehabilitation time between men and women and between different levels of education. Approximately 2% of the total variance in rehabilitation time could be attributed to the municipality of residence. Conclusions There is a higher threshold for granting a disability pension to younger persons and those who are expecting periods of unemployment, which is reflected in the extended rehabilitation requirements for these groups. The longer rehabilitation period for persons with psychiatric disorders might reflect a lack of common knowledge on the working capacity of and the fitted rehabilitation programs for people with psychiatric disorders.

  9. THE EFFECT OF THE LANDSLIDES ON A RURAL ROAD

    Directory of Open Access Journals (Sweden)

    Mădălina - Cristina Marian

    2015-12-01

    Full Text Available Following heavy rains, a landslide took place on a rural road which connects two national roads in Argeş County. The platform of the road has been destroyed to a great length, because of the heavy rains with high intensity and duration. The analyzed road is of great interest to the local population as it provides the access road of people from several villages. The current study aimed at the proposal of restoration works in order to diminish the effects of the natural disaster on this road. The area was firstly studied topographically, then from a climatic, geological and even cadastral point of view (legal and economic. According to the undertaken studies, a series of works were proposed in order to deal with the current situation, but also to reduce the risk of landslide reactivation. The proposed works were classical works of land reclamation, such as gabions. It is important for the solutions to be simple, found in due time and have logical directions to be followed in the future.

  10. Use of certain alternative fuels in road transport in Poland

    Science.gov (United States)

    Gis, W.; Pielecha, J.; Waśkiewicz, J.; Gis, M.; Menes, M.

    2016-09-01

    The development of biomethane and hydrogen technology in the road transport in the EU countries is recommended, among the others, in the Directive of the European Parliament and of the Council 2014/94/EU of 22 October 2014. Under the provisions of the said Directive, it is recommended to EU countries to use biomethane and progressively ensure accessibility to hydrogen cars on their territories, and above all to ensure the possibility of driving hydrogen vehicles between the member States. The territorial accessibility for biomethane vehicles is determined by the availability of biomethane refuelling infrastructure in the first place in cities and then on the road network distances recommended in this directive. The territorial accessibility for hydrogen vehicles is determined by the availability of hydrogen refuelling infrastructure, in the first place along the TEN-T network. The article presents the possibilities of using these alternative fuels in Poland, presenting some of the results of research and analysis in this area.

  11. Road traffic noise and stroke

    DEFF Research Database (Denmark)

    Sørensen, Mette; Hvidberg, Martin; Andersen, Zorana J

    2011-01-01

    Epidemiological studies suggest that long-term exposure to road traffic noise increases the risk of cardiovascular disorders. The aim of this study was to investigate the relation between exposure to road traffic noise and risk for stroke, which has not been studied before.......Epidemiological studies suggest that long-term exposure to road traffic noise increases the risk of cardiovascular disorders. The aim of this study was to investigate the relation between exposure to road traffic noise and risk for stroke, which has not been studied before....

  12. 24 CFR 1710.110 - Roads.

    Science.gov (United States)

    2010-04-01

    ... (4) Who is responsible for road maintenance? If the roads are to be maintained by a public authority... for maintaining the roads and that, if maintenance is not performed, the roads may soon deteriorate... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Roads. 1710.110 Section...

  13. Environmental sensitive road planning and transportation techniques in forest engineering

    Directory of Open Access Journals (Sweden)

    H. Hulusi Acar

    2016-07-01

    Full Text Available Forestry management has activities dealing with technical, economic, social and environmental services. Forestry operations which are carried out on forest areas , an important part of the ecosistem are materialized in open space. This forestry activities on large areas and high sloping generally, include many different techniques. It is needed primarily to the forest road network in terms of forest management. Determining the approriate route in the natural environment, planning and road construction affairs for forest roads which are necessary accessing in forest areas, is also of great importance from an environmental viewpoint as well as technical and economic manner. Forest road planning which can not be changed later and left a permanent mark on the natural environment carries much more importance to the environment especially on sloping land. This is because, it is important choosing correct type of roaf structure, and doing periodic maintenance of the roads. Skidding activities, after wood production, is important in terms of its impact on forest soil and by means of effects on saplings and trees on the releated forest areas.The development of environmental sensitive techniques is difficult, limited or expensive for this wood extraction works which are made more difficult conditons in the sloping terrain. Therefore, especially in using some silvicultural methods wood extraction damages are even greater. In this study; some road planning, road construction and wood extraction techniques which performed by me have been made to examine the environmental aspects. Environment-friendly forest roads and primary transport techniques on the forest ecosystem are briefly explained and discussed in the frame of the environmental aspects.

  14. Mayan Forest Road Projects

    DEFF Research Database (Denmark)

    Conde, Dalia Amor

    2008-01-01

    rates of return on investment on the basis of project economics, whilst others would be negative if only the carbon dioxide emissions (225million tonnes over 30 years) were accounted for. A fuller evaluation including biodiversity values would have tilted the conclusions more firmly in the direction......Road-building projects in the Mayan Biosphere Reserve to connect Mexico and Guatemala were subjected to a cost-benefit evaluation. Up to an estimated 311,000 hectares of jaguar habitat were found to be at risk of deforestation due to these projects. Some of the projects were shown to have negative...

  15. Road traffic injuries

    Institute of Scientific and Technical Information of China (English)

    WANG Zheng-guo 王正国

    2003-01-01

    @@ The appearance of cars has raised materialistic civilization and living standard to an unprecedented level. Today, it is hard to imagine how we human beings can live without cars.Yet, motor vehicles can cause a great number of deaths and injuries as well as considerable economic losses, which have constituted the global burden. Understanding of the occurrence and development of road traffic injuries will contribute to the prevention and control of crash and to the implementation of "everybody has the right to enjoy health" proposed by WHO.

  16. RoadTrip Charcoal

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Apple iPod系列产品最让人遗憾的地方,就是缺少对于调频收音机的支持。所以我们只好通过各种配件为它增加功能。这款RoadTrip“巧克力”,不仅能让iPod增加收音机的功能,还可以通过调频把iPod中的音乐发出出来。

  17. Road Works Ahead

    Institute of Scientific and Technical Information of China (English)

    Gertrude; Majyambere

    2011-01-01

    China to invest $532 million in Rwanda in 2011 CHINA will invest about $532 million in Rwanda this year,mainly targeting critical economic engines such as building roads and vocational schools,said Shu Zhan,Chinese Ambassador to Rwanda,in early February. "We need to have adequate field surveys,wide consultation and detailed ’homework,’ in order to come up with tailor-made solutions that meet local needs," Shu said in an interview with ChinAfrica.

  18. Road Traffic Injuries

    Institute of Scientific and Technical Information of China (English)

    WANG Zheng-guo

    2005-01-01

    @@ As everybody knows that automobiles have been greatly changing our life. However, everything has two sides, motor vehicles have also caused a huge number of people's deaths, injuries and property damage. Traffic crashes are perhaps the number one public health problem in developed countries [1]. In the United States, pre-retirement years of life lost in traffic crashes are more than that of the two combined leading diseases: cancer and heart disease [1]. Today road traffic crash (RTC) ranks 11th in leading cause of death and accounts for 2.1% of all deaths globally.

  19. Outpatient pulmonary rehabilitationrehabilitation models and shortcomings in outpatient aftercare

    Directory of Open Access Journals (Sweden)

    Dietl, Markus

    2010-01-01

    Full Text Available Background: The chronic obstructive pulmonary disease (COPD and the bronchial asthma are widespread diseases. They need long-lasting and sustainable rehabilitation. Objectives: The goal of this HTA is to describe the present supply and the economic relevance of out-patient pulmonary rehabilitation in conjunction with its social aspects. A further target is to derivate options for actions in the health-care system and possible research necessities. Methods: Relevant publications are identified by means of a structured search in 37 database accessed through the German Institute of Medical Documentation and Information (DIMDI. In addition a manual search of identified reference lists has been done. The present report includes German and English literature published from 2004 to 2009. The methodological quality was assessed by two independent researchers according to pre-defined quality criteria of evidence based medicine. Results: Among 860 publications 31 medical studies, four economic studies and 13 ethical studies meet the inclusion criteria. The studies cover rehabilitation programmes in 19 countries. The majority of them has a high level of evidence (1A to 2C. The pulmonary rehabilitation programmes differ by the setting (in-patient, out-patient, in-home, community-based, by the length of intervention (from two weeks to 36 months, by the way and the frequency of intervention and by the duration of the follow-up treatment. Overall out-patient rehabilitation programmes achieve the same positive effects for COPD patients as in-patient programmes do. This is especially true for physical performance and health related quality of life. There are only a few studies dealing with asthma. Therefore, valid statements cannot be given. The results for cost-effectiveness are not distinct enough. Discussion: Goals of pulmonary rehabilitation like prevention and adequate treatment of acute exacerbations, the minimisation of hospitalisation and the reduction

  20. 25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false When can access to IRR transportation facilities be restricted? 170.813 Section 170.813 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.813 When can access to...

  1. [Rehabilitation and algodystrophies].

    Science.gov (United States)

    Simon, L; Blotman, F; Leroux, J L; Claustre, J; Azema, M J; Brun-Meyer, M

    1982-12-01

    Based on 20 years experience, and a personal series of 272 cases of reflex dystrophy (84 cases involving upper limbs, 188 cases involving lower limbs) admitted under a rheumatology unit equipped with all the available techniques of rehabilitative medicine, the authors stress the value of well conducted functional rehabilitation which, even alone, can obtain excellent results in the treatment of this disease, whatever the stage. The authors detail the modalities of this treatment. A local intra-articular or intra-canal injection of corticosteroids permits pain-free physiotherapy. The mobilisation of the lower limb is an urgent priority. Non-aggressive physiotherapeutic techniques should be adapted to the stage and the site of reflex dystrophy. Hydrokinesitherapy and the adaptation of craft techniques to occupational therapy also play an important part.

  2. Rehabilitation of pure alexia

    DEFF Research Database (Denmark)

    Starrfelt, Randi; Ólafsdóttir, Rannveig Rós; Arendt, Ida-Marie

    2013-01-01

    that pure alexia was an easy target for rehabilitation efforts. We review the literature on rehabilitation of pure alexia from 1990 to the present, and find that patients differ widely on several dimensions like alexia severity, and associated deficits. Many patients reported to have pure alexia......Acquired reading problems caused by brain injury (alexia) are common, either as a part of an aphasic syndrome, or as an isolated symptom. In pure alexia, reading is impaired while other language functions, including writing, are spared. Being in many ways a simple syndrome, one would think...... in the reviewed studies, have associated deficits like agraphia or aphasia and thus do not strictly conform to the diagnosis. Few studies report clear and generalisable effects of training, none report control data, and in many cases the reported findings are not supported by statistics. We can, however...

  3. Rehabilitation of pure alexia

    DEFF Research Database (Denmark)

    Starrfelt, Randi; Ólafsdóttir, Rannveig Rós; Arendt, Ida-Marie

    2013-01-01

    Acquired reading problems caused by brain injury (alexia) are common, either as a part of an aphasic syndrome, or as an isolated symptom. In pure alexia, reading is impaired while other language functions, including writing, are spared. Being in many ways a simple syndrome, one would think...... that pure alexia was an easy target for rehabilitation efforts. We review the literature on rehabilitation of pure alexia from 1990 to the present, and find that patients differ widely on several dimensions like alexia severity, and associated deficits. Many patients reported to have pure alexia...... in the reviewed studies, have associated deficits like agraphia or aphasia and thus do not strictly conform to the diagnosis. Few studies report clear and generalisable effects of training, none report control data, and in many cases the reported findings are not supported by statistics. We can, however...

  4. Rehabilitación de viviendas con criterios de accesibilidad en España. Respuestas inclusivas ante la diversidad humana y social./ Using accessibility criteria for dwelling rehabilitation in Spain. Inclusive responses for human and social diversity.

    Directory of Open Access Journals (Sweden)

    Yolanda María de la Fuente R.

    2013-06-01

    Full Text Available Las Viviendas de Promoción Pública, que tienen como misión satisfacer la necesidad de vivienda de ciudadanos con rentas bajas, pierden este fin cuando las mismas no dan respuesta a las necesidades de la población que atienden, partiendo de la premisa de que las mismasfueron diseñadas al margen de criterios de accesibilidad y de lo que se entiende en la actualidad como Design for all.Cuando la población que hacía uso de las mismas era joven e independiente respondía alderecho a la vivienda, pero ahora esa población es una población envejecida, con recursos reducidos y espoleada por la crisis económica; nos encontramos así con un sector de poblacióndoblemente excluido, son mayores, dependientes y con bajos recursos, si a todo esto unimos a las personas con discapacidad tanto de origen como sobrevenida, forman parte de una población invalidada por el entorno hostil de la vivienda en la que residen, convirtiéndose enobstáculos imposibles de remover por falta de recursos y de estrategia adaptada para intervenir en este sector. El objetivo de este artículo pretende demostrar la necesidad de establecer un protocolo de información y actuación en materia de accesibilidad para llevar a cabo la adaptación de las viviendas atendiendo a la individualidad de sus moradores. Para ello se ha llevado a cabo una revisión profunda de la normativa especializada en la materia,argumentando las oportunidades que ofrece la misma y que hasta la fecha no han sido desarrolladas o simplemente acatadas./The main purpose of Public Housing, that is, to satisfy the needs of citizens with low incomes, is lost when the design and construction standards of public housing projects do not take into consideration accessibility criteria, also known as Design for All.As the population that occupies public housing projects gets older, and their needs become more specific and harder to fulfill, resources stop flowing in, putting them in a double exclusionsituation

  5. 48 CFR 871.208 - Rehabilitation facilities.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Rehabilitation facilities... Vocational Rehabilitation and Employment Service 871.208 Rehabilitation facilities. Charges by rehabilitation facilities for the rehabilitation services provided under 38 U.S.C. Chapter 31 are paid in the same manner...

  6. 38 CFR 21.70 - Vocational rehabilitation.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Vocational rehabilitation...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Duration of Rehabilitation Programs § 21.70 Vocational rehabilitation. (a) General. The goal of...

  7. Integral Rehabilitation in Dentistry

    OpenAIRE

    Lamas Lara, César; Cirujano Dentista, Docente del Área de Operatoria Dental y Endodoncia de la Facultad de OdontoIogía de la UNMSM.; Paz Fernández, Juan José; Paredes Coz, Gerson; Cirujano Dentista, Especialista en Rehabilitación Oral, Docente del Área de Rehabilitación Oral de la Facultad de Odontología de la UNMSM.; Angulo de la Vega, Giselle; Cirujano Dentista, Estudios de Especialidad de Rehabilitación Oral de la Facultad de Odontología de la UNMSM.; Cardoso Hernández, Sully; Estudiante de internado de la Facultad de Odontología de la UNMSM.

    2014-01-01

    Nowadays is fundamental the interrelationship of the diverse specialities of dentistry for the resolution of the treatments realized in the patients who come to the odontologic consultation, since the vision slanted of some area can deprive to offer a better possibility of treatment. Working with specialists in different areas carries to orientating adequately the treatments and to optimizing results. In the present article the integral rehabilitation of a patient is detailed by the participa...

  8. Smart portable rehabilitation devices

    OpenAIRE

    Leahey Matt; Arango Roberto; Stuart Ryan; Prugnarola Jennifer; Pelletier Philip; Jensen Katherine; Danaher Gil; Weinberg Brian; Nikitczuk Jason; Mavroidis Constantinos; Pavone Robert; Provo Andrew; Yasevac Dan

    2005-01-01

    Abstract Background The majority of current portable orthotic devices and rehabilitative braces provide stability, apply precise pressure, or help maintain alignment of the joints with out the capability for real time monitoring of the patient's motions and forces and without the ability for real time adjustments of the applied forces and motions. Improved technology has allowed for advancements where these devices can be designed to apply a form of tension to resist motion of the joint. Thes...

  9. Pediatric facial nerve rehabilitation.

    Science.gov (United States)

    Banks, Caroline A; Hadlock, Tessa A

    2014-11-01

    Facial paralysis is a rare but severe condition in the pediatric population. Impaired facial movement has multiple causes and varied presentations, therefore individualized treatment plans are essential for optimal results. Advances in facial reanimation over the past 4 decades have given rise to new treatments designed to restore balance and function in pediatric patients with facial paralysis. This article provides a comprehensive review of pediatric facial rehabilitation and describes a zone-based approach to assessment and treatment of impaired facial movement.

  10. Improving brain injury cognitive rehabilitation by personalized telerehabilitation services: Guttmann neuropersonal trainer.

    Science.gov (United States)

    Solana, Javier; Cáceres, César; García-Molina, Alberto; Opisso, Eloy; Roig, Teresa; Tormos, José M; Gómez, Enrique J

    2015-01-01

    Cognitive rehabilitation aims to remediate or alleviate the cognitive deficits appearing after an episode of acquired brain injury (ABI). The purpose of this work is to describe the telerehabilitation platform called Guttmann Neuropersonal Trainer (GNPT) which provides new strategies for cognitive rehabilitation, improving efficiency and access to treatments, and to increase knowledge generation from the process. A cognitive rehabilitation process has been modeled to design and develop the system, which allows neuropsychologists to configure and schedule rehabilitation sessions, consisting of set of personalized computerized cognitive exercises grounded on neuroscience and plasticity principles. It provides remote continuous monitoring of patient's performance, by an asynchronous communication strategy. An automatic knowledge extraction method has been used to implement a decision support system, improving treatment customization. GNPT has been implemented in 27 rehabilitation centers and in 83 patients' homes, facilitating the access to the treatment. In total, 1660 patients have been treated. Usability and cost analysis methodologies have been applied to measure the efficiency in real clinical environments. The usability evaluation reveals a system usability score higher than 70 for all target users. The cost efficiency study results show a relation of 1-20 compared to face-to-face rehabilitation. GNPT enables brain-damaged patients to continue and further extend rehabilitation beyond the hospital, improving the efficiency of the rehabilitation process. It allows customized therapeutic plans, providing information to further development of clinical practice guidelines.

  11. Rehabilitation - a new approach. Part three: the implications of the theories.

    Science.gov (United States)

    Wade, Derick

    2016-01-01

    The last editorial suggested that rehabilitation needed to involve the patient in learning, and depended upon a group of professionals to identify what actions might help the patient, and to undertake or arrange the necessary actions. In many cases there will be both a wide variety of actions needed from a reasonably large number of people and organisations, and the process is likely to be extended over weeks, months or occasionally years. This editorial shows that these features characterise the rehabilitation process as complex and therefore it needs to be managed by a trans-disciplinary team. Some of the characteristics of teamwork are discussed. This leads to a discussion of teams in rehabilitation, showing that there are currently many different types of teams organised around different areas of interest and that a patient might need access to several specialised teams. It is then argued that the complexity of team coordination is best resolved by formal rehabilitation planning meetings, held early in a patient's involvement with rehabilitation; this should increase effectiveness and efficiency. Finally the editorial argues that rehabilitation would be improved by having rehabilitation teams that mirror the existing medical specialities, ensuring that all patients thereby have easy and early access to rehabilitation planning.

  12. Web Accessibility, Libraries, and the Law

    Directory of Open Access Journals (Sweden)

    Camilla Fulton

    2011-03-01

    Full Text Available With an abundance of library resources being served on the web, researchers are finding that disabled people oftentimes do not have the same level of access to materials as their nondisabled peers. This paper discusses web accessibility in the context of United States’ federal laws most referenced in web accessibility lawsuits. Additionally, it reveals which states have statutes that mirror federal web accessibility guidelines and to what extent. Interestingly, fewer than half of the states have adopted statutes addressing web accessibility, and fewer than half of these reference Section 508 of the Rehabilitation Act or Web Content Accessibility Guidelines (WCAG 1.0. Regardless of sparse legislation surrounding web accessibility, librarians should consult the appropriate web accessibility resources to ensure that their specialized content reaches all.

  13. Energy consumption comparison for different asphalt pavements rehabilitation techniques used in Chile

    Energy Technology Data Exchange (ETDEWEB)

    Thenoux, Guillermo; Dowling, Rafael [School of Engineering, Universidad Catolica de Chile, Vicuna Mackenna 4860 Macul, Santiago (Chile); Gonzalez, Alvaro [Department of Civil Engineering, University of Canterbury, Private Bag 4800, Christchurch 8020 (New Zealand)

    2007-02-15

    In developing countries without the availability of reliable pavement management systems, recycling techniques may offer the best alternative for pavement structural rehabilitation. However, for many government officials and contractors there is a clear understanding of the technical advantages of recycling but not a clear perspective of cost saving. Since cost is a relative value among different regions of any country the following work makes an energy analysis of the construction process of the three different rehabilitation techniques available in Chile. Three different structural pavement rehabilitation alternatives were studied and compared using an energy consumption methodology: circle Asphalt overlay; circle Reconstruction; circle Cold in place recycling with foamed asphalt. The methodology considers different project scenarios by combining expected traffic and soil support values. For each rehabilitation technique and scenario, the construction processes were analyzed and the design layers were transformed to equivalent energy units (MJ/m{sup 2}). Results show that cold in place recycling utilizes the lowest amount of energy compared with reconstruction or an asphalt overlay in all the scenarios studied, producing more differences when rehabilitating roads for less trafficked roads. The study also concludes that aggregate haulage distance is the most sensitive factor on total energy consumption when comparing the three alternatives. (author)

  14. JNER: a forum to discuss how neuroscience and biomedical engineering are reshaping physical medicine & rehabilitation

    Directory of Open Access Journals (Sweden)

    Bonato Paolo

    2004-10-01

    Full Text Available Abstract Advances in neuroscience and biomedical engineering deeply affect the clinical practice of physical medicine & rehabilitation. New research findings and engineering tools are continuously made available that have the potential of dramatically enhancing the ability of clinicians to design effective rehabilitation interventions. This quickly evolving research field is difficult to track because related literature appears in a wide range of scientific journals. There is a need for a scientific journal that offers to its readership a forum at the intersection of neuroscience, biomedical engineering, and physical medicine & rehabilitation. The Journal of NeuroEngineering and Rehabilitation (JNER is intended to fill this gap and foster cross-fertilizations among these disciplines. By making readily available to clinicians selected studies with potential impact on physical medicine & rehabilitation, JNER is anticipated to foster the development of novel and more effective rehabilitation strategies. Conversely, by presenting clinical problems to a readership of neuroscientists and engineers, JNER is expected to generate innovative work in neuroscience and biomedical engineering with future applications to physical medicine & rehabilitation. JNER will leverage on Open Access as a means to guarantee that its content is readily available to scientists, clinicians, and the general public thus promoting scientific and technological advances that are relevant to rehabilitation. JNER is an Open Access initiative. Open Access assures dissemination to the widest possible audience and is seen by many as essential for publicly funded research. BioMed Central offers an outstanding platform to make JNER possible and allow neuroscientists, biomedical engineers, and clinicians to see their work published in a timely manner and thus make an immediate impact in the field of rehabilitation. JNER will focus on innovative work with higher likelihood of a dramatic

  15. REHABILITATION PRACTICAL PROGRAMME

    Directory of Open Access Journals (Sweden)

    Suzana KRANJC JOLDIKJ

    Full Text Available Centre for Education and Rehabilitation of Physi­cally Handicapped Children and Adolescents Kamnik (Zavod za usposabljanje invalidne mlad­ine Kamnik; hereinafter: ZUIM perform verified or state-ap­proved programme the Rehabilitation practical pro­gramme. The programme is intended for all those young people, who have completed primary school education, but cannot continue regular schooling in secondary school pro­grammes. The programme con­sists of several equivalent parts: education, practical work, train­ing work, health, therapeutic, psychologi­cal, and other activities. For every beginner in the first month of education members of the operative team create an individualized programme, which in­cludes individualized school work, individualized training programme, and other expert activities. The programme can last for 6 years maximum, it can however be completed earlier, when the op­erative team feels the training is no longer neces­sary. Pro­gress of a young person is what matters the most, and if there is no progress, the training is brought to an end. Training of young people in the Rehabilitation practical programme is only the be­ginning. The country will have to start considering social enter­prises, which are found elsewhere in the world, for example in Scandinavian countries and in the USA.

  16. Improving road safety: Experiences from the Netherlands

    NARCIS (Netherlands)

    Hagenzieker, M.P.

    2012-01-01

    Dr. Hagenzieker's research and education activities focus on the road safety effects of the transport system, with particular interest in road user behaviour aspects. Her PhD-research was on the effects of rewards on road user behaviour.

  17. Wearable feedback systems for rehabilitation

    Directory of Open Access Journals (Sweden)

    Marci Carl

    2005-06-01

    Full Text Available Abstract In this paper we describe LiveNet, a flexible wearable platform intended for long-term ambulatory health monitoring with real-time data streaming and context classification. Based on the MIT Wearable Computing Group's distributed mobile system architecture, LiveNet is a stable, accessible system that combines inexpensive, commodity hardware; a flexible sensor/peripheral interconnection bus; and a powerful, light-weight distributed sensing, classification, and inter-process communications software architecture to facilitate the development of distributed real-time multi-modal and context-aware applications. LiveNet is able to continuously monitor a wide range of physiological signals together with the user's activity and context, to develop a personalized, data-rich health profile of a user over time. We demonstrate the power and functionality of this platform by describing a number of health monitoring applications using the LiveNet system in a variety of clinical studies that are underway. Initial evaluations of these pilot experiments demonstrate the potential of using the LiveNet system for real-world applications in rehabilitation medicine.

  18. Wearable feedback systems for rehabilitation.

    Science.gov (United States)

    Sung, Michael; Marci, Carl; Pentland, Alex

    2005-06-29

    In this paper we describe LiveNet, a flexible wearable platform intended for long-term ambulatory health monitoring with real-time data streaming and context classification. Based on the MIT Wearable Computing Group's distributed mobile system architecture, LiveNet is a stable, accessible system that combines inexpensive, commodity hardware; a flexible sensor/peripheral interconnection bus; and a powerful, light-weight distributed sensing, classification, and inter-process communications software architecture to facilitate the development of distributed real-time multi-modal and context-aware applications. LiveNet is able to continuously monitor a wide range of physiological signals together with the user's activity and context, to develop a personalized, data-rich health profile of a user over time. We demonstrate the power and functionality of this platform by describing a number of health monitoring applications using the LiveNet system in a variety of clinical studies that are underway. Initial evaluations of these pilot experiments demonstrate the potential of using the LiveNet system for real-world applications in rehabilitation medicine.

  19. Health-related rehabilitation and human rights: analyzing states' obligations under the United Nations Convention on the Rights of Persons with Disabilities.

    Science.gov (United States)

    Skempes, Dimitrios; Stucki, Gerold; Bickenbach, Jerome

    2015-01-01

    Globally, disability represents a major challenge for health systems and contributes to the rising demand for rehabilitation care. An extensive body of evidence testifies to the barriers that people with disabilities confront in accessing rehabilitation services and to the enormous impact this has on their lives. The international legal dimension of rehabilitation is underexplored, although access to rehabilitation is a human right enshrined in numerous legal documents, specifically the Convention on the Rights of Persons with Disabilities. However, to date, no study has analyzed the implications of the Convention for Rehabilitation Policy and Organization. This article clarifies states' obligations with respect to health-related rehabilitation for persons with disabilities under the Convention. These obligations relate to the provision of rehabilitation but extend across several key human right commitment areas such as equality and nondiscrimination; progressive realization; international cooperation; participation in policymaking processes; the accessibility, availability, acceptability, and quality of rehabilitation services; privacy and confidentiality; and informed decision making and accountability. To support effective implementation of the Convention, governments need to focus their efforts on all these areas and devise appropriate measures to monitor compliance with human rights principles and standards in rehabilitation policy, service delivery, and organization. This article lays the foundations for a rights-based approach to rehabilitation and offers a framework that may assist in the evaluation of national rehabilitation strategies and the identification of gaps in the implementation of the Convention.

  20. Recent Development of Rehabilitation Robots

    Directory of Open Access Journals (Sweden)

    Zhiqin Qian

    2015-02-01

    Full Text Available We have conducted a critical review on the development of rehabilitation robots to identify the limitations of existing studies and clarify some promising research directions in this field. This paper is presented to summarize our findings and understanding. The demands for assistive technologies for elderly and disabled population have been discussed, the advantages and disadvantages of rehabilitation robots as assistive technologies have been explored, the issues involved in the development of rehabilitation robots are investigated, some representative robots in this field by leading research institutes have been introduced, and a few of critical challenges in developing advanced rehabilitation robots have been identified. Finally to meet the challenges of developing practical rehabilitation robots, reconfigurable and modular systems have been proposed to meet the identified challenges, and a few of critical areas leading to the potential success of rehabilitation robots have been discussed.

  1. Vocational rehabilitation: a multidisciplinary intervention.

    Science.gov (United States)

    Gobelet, C; Luthi, F; Al-Khodairy, A T; Chamberlain, M A

    2007-09-15

    Vocational rehabilitation is by definition a multidisciplinary intervention in a process linked to the facilitation of return to work or to the prevention of loss of the work. Clinical staff in contact with a person who has lost his job (general practitioner, specialized physician) must promote vocational rehabilitation. Medical rehabilitation for those with disabilities, whether new or old, has to be followed without delay by vocational rehabilitation. It is even better if these two intertwined processes are overlapping. They involve many professionals including physiotherapists, occupational therapists, psychologists, vocational trainers, job counsellors, teachers, case-managers, job placement agencies. Vocational rehabilitation has a financial cost, borne by many state organizations (security, social system, social affairs) as well as by employers and private insurances, which are in case of accident, concerned by this process. However, the evidence suggests that this is recouped 2- to 10-fold as suggested by the British Society of Rehabilitation Medicine.

  2. Road safety in developing countries.

    NARCIS (Netherlands)

    Schreuder, D.A.

    1991-01-01

    This paper presents a classification of countries (developing and developed alike), divided into two main categories: an economical and historical entry. When road safety problems are placed into the economical context, it then appears that, among other things: (1) The road safety problem in the ind

  3. All Road Density (18km)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Density (km / km^2) of all roads in the western United States. Dataset was developed to generalize the 2000 US Census TIGER/Line Roads layer to a density within 18km...

  4. Using Accession to investigate accessibility induced social exclusion in Edinburgh and the Lothians

    OpenAIRE

    Weir, Andrew

    2008-01-01

    An exploratory analysis of accessibility-based social exclusionary mechanisms in Edinburgh and the Lothians is presented, with the aim of highlighting the benefits of a technique that incorporates socio-geodemographic variables. Accession software is used to produce accessibility times to three different types of services. Postcode centroids are used to represent centres of population, while the Navteq road network and latest public transport timetables are used to model the transport network...

  5. Biofeedback in rehabilitation.

    Science.gov (United States)

    Giggins, Oonagh M; Persson, Ulrik McCarthy; Caulfield, Brian

    2013-06-18

    This paper reviews the literature relating to the biofeedback used in physical rehabilitation. The biofeedback methods used in rehabilitation are based on biomechanical measurements and measurements of the physiological systems of the body. The physiological systems of the body which can be measured to provide biofeedback are the neuromuscular system, the respiratory system and the cardiovascular system. Neuromuscular biofeedback methods include electromyography (EMG) biofeedback and real-time ultrasound imaging (RTUS) biofeedback. EMG biofeedback is the most widely investigated method of biofeedback and appears to be effective in the treatment of many musculoskeletal conditions and in post cardiovascular accident (CVA) rehabilitation. RTUS biofeedback has been demonstrated effective in the treatment of low back pain (LBP) and pelvic floor muscle dysfunction. Cardiovascular biofeedback methods have been shown to be effective in the treatment of a number of health conditions such as hypertension, heart failure, asthma, fibromyalgia and even psychological disorders however a systematic review in this field has yet to be conducted. Similarly, the number of large scale studies examining the use of respiratory biofeedback in rehabilitation is limited. Measurements of movement, postural control and force output can be made using a number of different devices and used to deliver biomechanical biofeedback. Inertial based sensing biofeedback is the most widely researched biomechanical biofeedback method, with a number of studies showing it to be effective in improving measures of balance in a number of populations. Other types of biomechanical biofeedback include force plate systems, electrogoniometry, pressure biofeedback and camera based systems however the evidence for these is limited. Biofeedback is generally delivered using visual displays, acoustic or haptic signals, however more recently virtual reality (VR) or exergaming technology have been used as biofeedback

  6. Cleveland Clinic Rehabilitation Research Program

    Science.gov (United States)

    2014-10-01

    functional impairments of the arm and hand , effects are weak and invariable. Limited succcess of rehabilitation is speculated to be associated with...Award Number: W81XWH-11-1-0707 TITLE: Cleveland Clinic Rehabilitation Research Program PRINCIPAL INVESTIGATOR: Vernon Lin, MD PhD CONTRACTING...CONTRACT NUMBER Cleveland Clinic Rehabilitation Research Program 5b. GRANT NUMBER W81XWH-11-1-0707 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d

  7. Gender Stereotypes among Road Users

    Directory of Open Access Journals (Sweden)

    Kabalevskaya, Alexandra I.

    2013-09-01

    Full Text Available This article analyzes the mechanism of stereotyping as exemplified by gender stereotypes of road users. Gender stereotypes are not only viewed as an a priori image of a percept, but also examined ‘in action’ — at the very moment of their actualization with road users. In the paper we have identified the content of road users’ gender stereotypes; analyzed the behaviour of male and female drivers, pinpointing a number of gender-specific behavioural features; demonstrated that male and female driving differ from each other in terms of speed, intensity and roughness; and identified the conditions and mechanisms underlying the actualization of gender stereotypes. Based on video and audio materials, we have found that drivers’ gender-specific behavioural features are perceivable to road users: such features trigger the actualization of gender stereotypes as attributive schemes, which determine the interaction between road users, while also laying the foundation for gender stereotypes.

  8. Overview and perspectives for Open Access development in Argentina

    Directory of Open Access Journals (Sweden)

    Sandra Miguel

    2013-04-01

    Full Text Available This paper provides an overview and perspectives for development of the Open Access movement in Argentina, within the global and regional (Latin American context. It outlines the evolution and current state of initiatives around the two main approaches to Open Access, the golden and green roads. The main Open Access policies and support of OA movement by governments in Latin American region, and particularly in Argentina, are highlighted, while recent studies on publishing practices and authors’ positions regarding Open Access are presented. The paper concludes that the prospects for development of OA in Argentina, both through golden and green roads are favorable, with their strengths and shortcomings

  9. Center for Rehabilitation Sciences Research

    Data.gov (United States)

    Federal Laboratory Consortium — The Center for Rehabilitation Sciences Research (CRSR) was established as a research organization to promote successful return to duty and community reintegration of...

  10. Multidisciplinary team care in rehabilitation

    DEFF Research Database (Denmark)

    Momsen, Anne-Mette; Rasmussen, Jens Ole; Nielsen, Claus Vinther

    2012-01-01

    Objectives: To systematically investigate current scientific evidence about the effectiveness of multidisciplinary team rehabilitation for different health problems. Data sources: A comprehensive literature search was conducted in Cochrane, Medline, DARE, Embase, and Cinahl databases, and research...... from existing systematic reviews was critically appraised and summarized. Study selection: Using the search terms "rehabilitation", "multidisciplinary teams" or "team care", references were identified for existing studies published after 2000 that examined multidisciplinary rehabilitation team care...... for adults, without restrictions in terms of study population or outcomes. The most recent reviews examining a study population were selected. Data extraction: Two reviewers independently extracted information about study populations, sample sizes, study designs, rehabilitation settings, the team...

  11. 75 FR 75188 - Listening Session Regarding Improving the Accessibility of Government Information

    Science.gov (United States)

    2010-12-02

    ... ADMINISTRATION Listening Session Regarding Improving the Accessibility of Government Information AGENCY: U.S... Accessibility of Government Information.'' Section 508 of the Rehabilitation Act (29 U.S.C. 794d) requires... members of the public access to information that is comparable to access available to others....

  12. Prosthetic rehabilitation of the upper limb amputee

    Directory of Open Access Journals (Sweden)

    Bernard O′Keeffe

    2011-01-01

    Full Text Available The loss of all or part of the arm is a catastrophic event for a patient and a significant challenge to rehabilitation professionals and prosthetic engineers. The large, upper extremity amputee population in India has, historically, been poorly served, with most having no access to support or being provided with ineffective prostheses. In recent years, the arrival of organisations like Otto Bock has made high quality service standards and devices accessible to more amputees. This review attempts to provide surgeons and other medical professionals with an overview of the multidisciplinary, multistage rehabilitation process and the solution options available. With worldwide upper extremity prosthesis rejection rates at significant levels, the review also describes some of the factors which influence the outcome. This is particularly relevant in the Indian context where the service can involve high cost investments. It is the responsibility of all contributing professionals to guide vulnerable patients through the process and try to maximise the benefit that can be obtained within the resources available.

  13. Road safety performance indicators for the interurban road network.

    Science.gov (United States)

    Yannis, George; Weijermars, Wendy; Gitelman, Victoria; Vis, Martijn; Chaziris, Antonis; Papadimitriou, Eleonora; Azevedo, Carlos Lima

    2013-11-01

    Various road safety performance indicators (SPIs) have been proposed for different road safety research areas, mainly as regards driver behaviour (e.g. seat belt use, alcohol, drugs, etc.) and vehicles (e.g. passive safety); however, no SPIs for the road network and design have been developed. The objective of this research is the development of an SPI for the road network, to be used as a benchmark for cross-region comparisons. The developed SPI essentially makes a comparison of the existing road network to the theoretically required one, defined as one which meets some minimum requirements with respect to road safety. This paper presents a theoretical concept for the determination of this SPI as well as a translation of this theory into a practical method. Also, the method is applied in a number of pilot countries namely the Netherlands, Portugal, Greece and Israel. The results show that the SPI could be efficiently calculated in all countries, despite some differences in the data sources. In general, the calculated overall SPI scores were realistic and ranged from 81 to 94%, with the exception of Greece where the SPI was relatively lower (67%). However, the SPI should be considered as a first attempt to determine the safety level of the road network. The proposed method has some limitations and could be further improved. The paper presents directions for further research to further develop the SPI.

  14. 路外停车驶入对出入口交通流影响模型%A model to describe the influence of the traffic flow on the main road due to off-street parking at the section of access

    Institute of Scientific and Technical Information of China (English)

    邓社军; 叶晓飞; 陈峻

    2016-01-01

    The BPR model was used to release the law between the characters of parking vehicle and speed of the main road. This paper focuses on the rightmost lane on the main road at the sections of off-street parking access in the city. An impedance function model describing the off-street parking vehicle enters or not was established through the analysis of theory and specific cases based on parameters. Some conclusions can been drawn as follows:firstly, speed of the rightmost vehicle is only related to its flow and proportion of the lane been utilized is only 0.384, while there is no off-street parking vehicle; secondly, speed of the rightmost vehicle is related to the influence time, frequency of parking, deceleration distance and its flow , while the off-street parking vehicle entry into the access . Meanwhile, sensitivity analysis of influence of relative factor on the speed of the social vehicles was conducted. Results show that the parking vehicle's deceleration distance is contrast to the average speed and it's influence time is in proportion to the average speed, while the off-street parking vehicle affected the vehicles on the rightmost lane. Moreover, the social vehicles would be deeply affected by the off-street parking vehicle, while the deceleration distance is less than 10 m.%为寻找停放车辆的驶入特征与主路车流速度之间的变化规律,以路阻函数(BPR)模型为理论基础,以城市路外停车场出入口接入主路的最右侧车道为研究对象,通过实测数据分析,建立了无停车驶入时出入口影响区范围内该车道的路阻函数模型及停车驶入后对该车道的影响模型.研究结果表明,当无停车驶入时,最右侧车道的车流速度仅与本车道流量密切相关,且该车道的利用系数仅为0.384;当有停车驶入时,最右侧车道的车流速度与停放车辆的驶入频率、驶入影响时间、减速距离及本车道流量等参数密切相关.通过对影响模型的各个参数

  15. Road safety in practice

    CERN Multimedia

    2003-01-01

    On the 23 and 25 September come and test your driving skills and your reflexes on the two days of road safety in practice! To conclude the poster and article campaign on this topic which started last year, CERN now comes to the practical part with demonstrations, like a spectacular overturning test, information stands, where you can meet safety personnel from France, Switzerland and CERN, and discussions & debates. Come to ... ... the Meyrin site on 23 September: - From 8:30 hrs, stands and demonstrations on the parking site Cèdres, behind the Restaurant no. 1. - From 9:30 hrs, discussions and debates in the main auditorium. ... the Prévessin site on 25 September: - From 8:30 hrs, stands and demonstrations on the parking site of the building 866. - From 14:00 hrs, discussions and debates in the AB auditorium, building 864.

  16. Weather and road capacity

    DEFF Research Database (Denmark)

    Jensen, Thomas Christian

    2014-01-01

    The paper presents estimations of the effect of bad weather on the observed speed on a Danish highway section; Køge Bugt Motorvejen. The paper concludes that weather, primarily precipitation and snow, has a clear negative effect on speed when the road is not in hypercongestion mode. Furthermore......, the capacity of the highway seems to be reduced in bad weather and there are indications that travel time variability is also increased, at least in free-flow conditions. Heavy precipitation reduces speed and capacity by around 5-8%, whereas snow primarily reduces capacity. Other weather variables......-parametrically against traffic density and in step 2 the residuals from step 1 are regressed linearly against the weather variables. The choice of a non-parametric method is made to avoid constricting ties from a parametric specification and because the focus here is not on the relationship between traffic flow...

  17. Silk Roads or Steppe Roads? The Silk Roads in World History.

    Science.gov (United States)

    Christian, David

    2000-01-01

    Explores the prehistory of the Silk Roads, reexamines their structure and history in the classical era, and explores shifts in their geography in the last one thousand years. Explains that a revised understanding of the Silk Roads demonstrates how the Afro-Eurasian land mass has been linked by networks of exchange since the Bronze Age. (CMK)

  18. SERIES "NOVELTIES IN PULMONARY REHABILITATION" New tools in pulmonary rehabilitation

    NARCIS (Netherlands)

    Wijkstra, P. J.; Wempe, J. B.

    2011-01-01

    In patients with more severe chronic obstructive pulmonary disease ( COPD), the benefits of rehabilitation might not be clear and, therefore, new treatment options have been developed to increase the benefits of rehabilitation. This review provides an overview of new approaches being developed as an

  19. Survey of wildlife rehabilitators on infection control and personal protective behaviors

    Science.gov (United States)

    Saito, E.K.; Shreve, A.A.

    2005-01-01

    Wildlife veterinarians and rehabilitators treat a number of wildlife species that can carry infectious and zoonotic diseases. These can rapidly spread within a facility and to the caregivers when adequate measures are not taken. Financial constraints and reduced access to laboratories often limit identification of disease etiology of many cases admitted into wildlife rehabilitation centers. A survey to investigate wildlife rehabilitator illness during the 2002 West Nile virus season indicated that many rehabilitators do not follow adequate protective measures in their facilities and may not seek medical care when disease symptoms arise or even linger. The recommended precautions and proper infection control measures for those handling and housing wildlife cases should be discussed between rehabilitators and their attending veterinarian(s).

  20. Rehabilitation of basketball injuries.

    Science.gov (United States)

    Malanga, Gerard A; Chimes, Gary P

    2006-08-01

    Basketball is one of the most popular sports in the United States and throughout the world, and therefore represents one of the most common sources of sports-related injuries. Basketball injuries should be managed by the same general rehabilitation principles as other sports injuries. Additionally, the clinician should be aware not only of general sports injuries but of those injuries most commonly seen in basketball players. By maintaining knowledge of the most common basketball injuries as well as their diagnosis and treatment, the clinician can help to optimize the athlete's return to play and enjoyment of the sport.

  1. [Rehabilitation of facial paralysis].

    Science.gov (United States)

    Martin, F

    2015-10-01

    Rehabilitation takes an important part in the treatment of facial paralysis, especially when these are severe. It aims to lead the recovery of motor activity and prevent or reduce sequelae like synkinesis or spasms. It is preferable that it be proposed early in order to set up a treatment plan based on the results of the assessment, sometimes coupled with an electromyography. In case of surgery, preoperative work is recommended, especially in case of hypoglossofacial anastomosis or lengthening temporalis myoplasty (LTM). Our proposal is to present an original technique to enhance the sensorimotor loop and the cortical control of movement, especially when using botulinum toxin and after surgery.

  2. Inequality in rehabilitation

    DEFF Research Database (Denmark)

    Guldager, Rikke; Poulsen, Ingrid

    OBJECTIVES: The overall Ph.d.-study aims to investigate rehabilitation trajectories in adult patients with traumatic brain injury (TBI) and stroke, and to describe mechanisms behind the institutionalized (health care) part of inequality in health with emphasis on interfaces and critical transitions....... The case study shows how one high status couple with many resources uses capitals. Especially cultural health capital, cultural capital (including health literacy and ability to use language) and social capital (including family and networks) when interacting with the health and welfare professions...

  3. Freedom Road: Colonial Life

    Science.gov (United States)

    Auerbach, Barbara

    2010-01-01

    While historical fiction by Jean Fritz as well as titles like Robert Lawson's "Ben and Me" (1939) or "Mr. Revere and I" (1954) and Esther Forbes's "Johnny Tremain" (1943) are widely known classics that bring this period to life, recent years have yielded a wealth of new offerings--many of which are accessible picture books or read-alouds. These…

  4. Acupuncture in stroke rehabilitation Literature retrieval based on international databases

    Institute of Scientific and Technical Information of China (English)

    Feng Sun; Jinchun Wang; Xia Wen

    2012-01-01

    OBJECTIVE: To identify global research trends of acupuncture in stroke rehabilitation using a bibliometric analysis of the Web of Science and the Clinical Trials registry database (ClinicalTrials.gov). DATA RETRIEVAL: We performed a bibliometric analysis of data retrievals for acupuncture in stroke rehabilitation from 1992 to 2011 using the Web of Science and ClinicalTrials.gov. SELECTION CRITERIA: Inclusion criteria: (1) Web of Science: (a) Peer-reviewed articles on acupuncture in stroke rehabilitation that were published and indexed in the Web of Science. (b) Type of articles: original research articles, reviews, meeting abstracts, proceedings papers, book chapters, editorial material and news items. (c) Year of publication: 1992-2011. (2) ClinicalTrials.gov: All clinical trials relating to acupuncture in stroke rehabilitation were searched in this database. Exclusion criteria: (1) Web of Science: (a) Articles that required manual searching or telephone access. (b) We excluded documents that were not published in the public domain. (c) We excluded a number of corrected papers from the total number of articles. (2) ClinicalTrials.gov: (a) We excluded clinical trials that were not in the ClinicalTrials.gov database. (b) We excluded clinical trials that dealt with magnetic stimulation other than acupuncture in stroke rehabilitation in the ClinicalTrials.gov database. MAIN OUTCOME MEASURES: (1) Type of literature; (2) annual publication output; (3) distribution according to journals; (4) distribution according to country; (5) distribution according to institution; (6) top cited articles over the last 20 years; and (7) clinical trials registered.RESULTS: (1) In all, 92 studies on acupuncture in stroke rehabilitation appeared in the Web of Science from 1992 to 2011, almost half of which derived from Chinese and American authors and institutes. The number of studies addressing acupuncture in stroke rehabilitation has gradually increased over the past 20 years. Most

  5. Rehabilitation interventions for cancer survivors

    DEFF Research Database (Denmark)

    Hansen, Helle Ploug; Tjørnhøj-Thomsen, Tine; Johansen, Christoffer

    2011-01-01

    The present study examines the influence of three contextual parameteres in rehabilitation courses for cancer survivors in Denmark. It is based on ethonographic fieldwork.......The present study examines the influence of three contextual parameteres in rehabilitation courses for cancer survivors in Denmark. It is based on ethonographic fieldwork....

  6. Community Psychiatric Rehabilitation in Israel.

    Science.gov (United States)

    Levy, Amihay; Neumann, Micha

    1988-01-01

    This paper describes the development of community-based rehabilitation services for persons with mental illness in Israel. It focuses on occupational, social, and residential community psychiatric rehabilitation services. The paper argues that service development has been slow and out of step with the philosophy and objectives of community…

  7. Qualitative Research in Rehabilitation Counseling

    Science.gov (United States)

    Hanley-Maxwell, Cheryl; Al Hano, Ibrahim; Skivington, Michael

    2007-01-01

    Qualitative research approaches offer rehabilitation scholars and practitioners avenues into understanding the lives and experiences of people with disabilities and those people and systems with whom they interact. The methods used often parallel those used in counseling and appear to be well matched with the field of rehabilitation counseling.…

  8. The Danish Cardiac Rehabilitation Database

    DEFF Research Database (Denmark)

    Zwisler, Ann-Dorthe; Rossau, Henriette Knold; Nakano, Anne

    2016-01-01

    AIM OF DATABASE: The Danish Cardiac Rehabilitation Database (DHRD) aims to improve the quality of cardiac rehabilitation (CR) to the benefit of patients with coronary heart disease (CHD). STUDY POPULATION: Hospitalized patients with CHD with stenosis on coronary angiography treated with percutane...

  9. Enfermagem de reabilitação: percurso para a avaliação da qualidade em unidades de internamento Rehabilitación de enfermería: camino a la evaluación de la calidad en las unidades de admisión Nursing rehabilitation: road to quality assessment in admission units

    Directory of Open Access Journals (Sweden)

    José Augusto Pereira Gomes

    2012-12-01

    rehabilitación.This article is an attempt to present a route to identify factors that contribute to the quality of nursing care for inpatient rehabilitation units and to identify instruments used to design and evaluate a way to create an assessment instrument for care in rehabilitation nursing. This is a qualitative study conducted in the medical services of a hospital in the north of Portugal, whose participants were twelve nurse specialists in rehabilitation, and the data collection method was semi-structured interview. The results that emerge from the participants’ narratives translate into a set of attributes that illustrate the model proposed by Donabedian, based on three components of health care: structure, process and outcome, and the cycle of continuous improvement proposed by Deming. We analised the specific requirements for good practice in rehabilitation care.

  10. Road Network Selection Based on Road Hierarchical Structure Control

    Directory of Open Access Journals (Sweden)

    HE Haiwei

    2015-04-01

    Full Text Available A new road network selection method based on hierarchical structure is studied. Firstly, road network is built as strokes which are then classified into hierarchical collections according to the criteria of betweenness centrality value (BC value. Secondly, the hierarchical structure of the strokes is enhanced using structural characteristic identification technique. Thirdly, the importance calculation model was established according to the relationships among the hierarchical structure of the strokes. Finally, the importance values of strokes are got supported with the model's hierarchical calculation, and with which the road network is selected. Tests are done to verify the advantage of this method by comparing it with other common stroke-oriented methods using three kinds of typical road network data. Comparision of the results show that this method had few need to semantic data, and could eliminate the negative influence of edge strokes caused by the criteria of BC value well. So, it is better to maintain the global hierarchical structure of road network, and suitable to meet with the selection of various kinds of road network at the same time.

  11. Cancer rehabilitation indicators for Europe

    DEFF Research Database (Denmark)

    Baili, Paolo; Hoekstra-Weebers, Josette; Van Hoof, Elke;

    2013-01-01

    on follow-up and treatments for samples of cases archived in cancer registries. (b) Indicators of rehabilitation success. These include: return to work, quality of life, and satisfaction of specific rehabilitation needs. Studies can be performed to estimate these indicators in individual countries......Little is known of cancer rehabilitation needs in Europe. EUROCHIP-3 organised a group of experts to propose a list of population-based indicators used for describing cancer rehabilitation across Europe. The aim of this study is to present and discuss these indicators. A EUROCHIP-3 expert panel...... reached agreement on two types of indicators. (a) Cancer prevalence indicators. These were proposed as a means of characterising the burden of cancer rehabilitation needs by time from diagnosis and patient health status. These indicators can be estimated from cancer registry data or by collecting data...

  12. Motivational Rehabilitation using Serious Games

    Directory of Open Access Journals (Sweden)

    Antoni Jaume i Capó

    2013-11-01

    Full Text Available Research studies show that serious games help to motivate users in rehabilitation processes, and rehabilitation results are better when users are motivated. In long term rehabilitation for maintaining capacities, the demotivation of chronic patients is common. In this work, we have implemented balance rehabilitation video game for cerebral palsy patients. The video game was developed using the prototype development paradigm and following desirable features for rehabilitation serious games presented in the literature. We have tested the video game with a set of users who abandoned therapy due to demotivation in the previous year. Results show that the set of users improved their balance and motivation.

  13. Cellular rehabilitation of photobiomodulation

    Science.gov (United States)

    Liu, Timon Cheng-Yi; Yuan, Jian-Qin; Wang, Yan-Fang; Xu, Xiao-Yang; Liu, Song-Hao

    2007-05-01

    Homeostasis is a term that refers to constancy in a system. A cell in homeostasis normally functions. There are two kinds of processes in the internal environment and external environment of a cell, the pathogenic processes (PP) which disrupts the old homeostasis (OH), and the sanogenetic processes (SP) which restores OH or establishes a new homeostasis (NH). Photobiomodualtion (PBM), the cell-specific effects of low intensity monochromatic light or low intensity laser irradiation (LIL) on biological systems, is a kind of modulation on PP or SP so that there is no PBM on a cell in homeostasis. There are two kinds of pathways mediating PBM, the membrane endogenetic chromophores mediating pathways which often act through reactive oxygen species, and membrane proteins mediating pathways which often enhance cellular SP so that it might be called cellular rehabilitation. The cellular rehabilitation of PBM will be discussed in this paper. It is concluded that PBM might modulate the disruption of cellular homeostasis induced by pathogenic factors such as toxin until OH has been restored or NH has been established, but can not change homeostatic processes from one to another one.

  14. Adaptive rehabilitation games.

    Science.gov (United States)

    Barzilay, Ouriel; Wolf, Alon

    2013-02-01

    In conventional neuromuscular rehabilitation, patients are required to perform biomechanical exercises to recover their neuromotor abilities. These physiotherapeutic tasks are defined by the physiotherapist, according to his estimate of the patient's pathologic neuromotor function. The definition of the task is mainly qualitative and it is often merely demonstrated to the patient as a gesture to reproduce. Success of the treatment relies then on the accuracy and repetition of the motor training. We propose a novel approach to neuromotor training by combining the advantages of a virtual reality platform with biofeedback information on the training subject from biometric equipment and with the computational power of artificial neural networks. In a calibration stage, the subject performs motor training on a known task to train the network. Once trained, the tuned network generates a new patient-specific task, based on the definition of the subject's expected performance dictated by the therapist. The system was tested for upper limb rehabilitation on healthy subjects. We measured a 33% improvement in the triceps performance (p = 0.027). The novelty of the proposed approach lies in its use of learning systems to the estimation of biological models.

  15. The Rauischholzhausen agenda for road ecology

    NARCIS (Netherlands)

    Roedenbeck, I.A.; Fahrig, L.; Findlay, C.S.; Houlahan, J.E.; Jaeger, J.A.G.; Klar, N.; Kramer-Schadt, S.; Grift, van der E.A.

    2007-01-01

    Despite the documented negative effects of roads on wildlife, ecological research on road effects has had comparatively little influence on road planning decisions. We argue that road research would have a larger impact if researchers carefully considered the relevance of the research questions addr

  16. Road Safety: The Vital but Neglected Subject.

    Science.gov (United States)

    Hollins, Patsy

    1989-01-01

    Teacher training students (N=153) in England were surveyed about road safety education. Attitudes of students about their preparation for teaching road safety, ways of integrating road safety into the primary and secondary curriculum, and obstacles to teaching road safety in schools are discussed. (IAH)

  17. 3D Scene Priors for Road Detection

    NARCIS (Netherlands)

    J.M. Alvarez; T. Gevers; A.M. Lopez

    2010-01-01

    Vision-based road detection is important in different areas of computer vision such as autonomous driving, car collision warning and pedestrian crossing detection. However, current vision-based road detection methods are usually based on low-level features and they assume structured roads, road homo

  18. Measuring (un)safety of roads.

    NARCIS (Netherlands)

    2009-01-01

    Measuring the safety level of a road is difficult. First of all you have to know how many crashes have occurred on a road. Various units of measurement are used for this: the absolute number of crashes per road, the number of crashes per road length, and the number of crashes per distance travelled.

  19. The contribution of on-road studies of road user behaviour to improving road safety.

    Science.gov (United States)

    Lenné, Michael G

    2013-09-01

    For over 40 years transport safety researchers have been using methods of vehicle instrumentation to gain greater insights into the factors that contribute to road user crash risk and the associated crash factors. In the previous decade in particular the widespread availability of lower cost and more advanced methods of vehicle instrumentation and recording technologies are supporting the increasing number of on-road research studies worldwide. The design of these studies ranges from multi-method studies using instrumented test vehicles and defined driving routes, to field operational tests, through to much larger and more naturalistic studies. It is timely to assess the utility of these methods for studying the influences of driver characteristics and states, the design and operation of the road system, and the influences of in-vehicle technologies on behaviour and safety for various road user groups. This special issue considers the extent to which on-road studies using vehicle instrumentation have been used to advance knowledge across these areas of road safety research. The papers included in this issue illustrate how research using instrumented test vehicles continues to generate new knowledge, and how the larger scale United States and European naturalistic and field operational test studies are providing a wealth of data about road user behaviour in real traffic. This is balanced with a number of studies that present methodological developments in data collection and analysis methods that, while promising, need further validation. The use of on-road methods to accurately describe the behaviours occurring in everyday real-world conditions, to quantify risks for safety critical events, and an improved understanding of the factors that contribute to risk, clearly has huge potential to promote further road trauma reductions.

  20. Curry County E-911 Roads

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Line attributes denoting all street centerlines in Curry County. Dataset includes all centerlines for all county maintained roads, all state and federal highways,and...

  1. Modeling road-cycling performance.

    Science.gov (United States)

    Olds, T S; Norton, K I; Lowe, E L; Olive, S; Reay, F; Ly, S

    1995-04-01

    This paper presents a complete set of equations for a "first principles" mathematical model of road-cycling performance, including corrections for the effect of winds, tire pressure and wheel radius, altitude, relative humidity, rotational kinetic energy, drafting, and changed drag. The relevant physiological, biophysical, and environmental variables were measured in 41 experienced cyclists completing a 26-km road time trial. The correlation between actual and predicted times was 0.89 (P road-cycling performance are maximal O2 consumption, fractional utilization of maximal O2 consumption, mechanical efficiency, and projected frontal area. The model is then applied to some practical problems in road cycling: the effect of drafting, the advantage of using smaller front wheels, the effects of added mass, the importance of rotational kinetic energy, the effect of changes in drag due to changes in bicycle configuration, the normalization of performances under different conditions, and the limits of human performance.

  2. The Dilemma of Mountain Roads

    Science.gov (United States)

    Mountain roads and trails are proliferating throughout developing Southeast Asia with severe but largely unrecognized long-term consequences related to effects of landslides and surface erosion on communities and downstream resources.

  3. How effective is road mitigation at reducing road-kill? A meta-analysis

    NARCIS (Netherlands)

    Rytwinski, Trina; Soanes, Kylie; Jaeger, Jochen A.G.; Fahrig, Lenore; Findlay, C.S.; Houlahan, Jeff; Ree, van der Rodney; Grift, van der Edgar A.

    2016-01-01

    Road traffic kills hundreds of millions of animals every year, posing a critical threat to the
    populations of many species. To address this problem there are more than forty types of
    road mitigation measures available that aim to reduce wildlife mortality on roads (road-kill).
    For road p

  4. Road Weather and Connected Vehicles

    Science.gov (United States)

    Pisano, P.; Boyce, B. C.

    2015-12-01

    On average, there are over 5.8 M vehicle crashes each year of which 23% are weather-related. Weather-related crashes are defined as those crashes that occur in adverse weather or on slick pavement. The vast majority of weather-related crashes happen on wet pavement (74%) and during rainfall (46%). Connected vehicle technologies hold the promise to transform road-weather management by providing improved road weather data in real time with greater temporal and geographic accuracy. This will dramatically expand the amount of data that can be used to assess, forecast, and address the impacts that weather has on roads, vehicles, and travelers. The use of vehicle-based measurements of the road and surrounding atmosphere with other, more traditional weather data sources, and create road and atmospheric hazard products for a variety of users. The broad availability of road weather data from mobile sources will vastly improve the ability to detect and forecast weather and road conditions, and will provide the capability to manage road-weather response on specific roadway links. The RWMP is currently demonstrating how weather, road conditions, and related vehicle data can be used for decision making through an innovative Integrated Mobile Observations project. FHWA is partnering with 3 DOTs (MN, MI, & NV) to pilot these applications. One is a mobile alerts application called the Motorists Advisories and Warnings (MAW) and a maintenance decision support application. These applications blend traditional weather information (e.g., radar, surface stations) with mobile vehicle data (e.g., temperature, brake status, wiper status) to determine current weather conditions. These weather conditions, and other road-travel-relevant information, are provided to users via web and phone applications. The MAW provides nowcasts and short-term forecasts out to 24 hours while the EMDSS application can provide forecasts up to 72 hours in advance. The three DOTs have placed readers and external

  5. 2013 CERN Road Race

    CERN Multimedia

    Klaus Hanke

    2013-01-01

    The 2013 annual CERN Road Race will be held on Wednesday 18 September at 6.15 p.m.   The 5.5 km race takes place over 3 laps of a 1.8 km circuit in the West Area of the Meyrin site, and is open to everyone working at CERN and their families. There are runners of all speeds, with times ranging from under 17 to over 34 minutes, and the race is run on a handicap basis, by staggering the starting times so that (in theory) all runners finish together. Children (< 15 years) have their own race over 1 lap of 1.8 km. As usual, there will be a “best family” challenge (judged on best parent and best child). Trophies are awarded in the usual men’s, women’s and veterans’ categories, and there is a challenge for the best age/performance. Every adult will receive a souvenir prize, financed by a registration fee of 10 CHF. Children enter free (each child will receive a medal). More information, and the online entry form, can be found here.

  6. 2013 CERN Road Race

    CERN Multimedia

    Klaus Hanke

    2013-01-01

    The 2013 edition of the annual CERN Road Race will be held on Wednesday 18 September at 18.15.   The 5.5 km race takes place over 3 laps of a 1.8 km circuit in the West Area of the Meyrin site, and is open to everyone working at CERN and their families. There are runners of all speeds, with times ranging from under 17 to over 34 minutes, and the race is run on a handicap basis, by staggering the starting times so that (in theory) all runners finish together. Children (< 15 years) have their own race over 1 lap of 1.8 km. As usual, there will be a “best family” challenge (judged on best parent + best child). Trophies are awarded in the usual men’s, women’s and veterans’ categories, and there is a challenge for the best age/performance. Every adult will receive a souvenir prize, financed by a registration fee of 10 CHF. Children enter free (each child will receive a medal). More information, and the online entry form, can be found at: htt...

  7. Tourist Assessment of Croatian Roads

    Directory of Open Access Journals (Sweden)

    Joso Vurdelja

    2012-10-01

    Full Text Available As environmentally clean industry and as the most significantworld industry regarding the number of employees and theimpact on the social and economic development of a countTy,tourism represents an extremely important social and economicbranch for Croatia.As a functional unit of the mutually interweaving socialand economic relations, tourism is a complex phenomenonwhose development depends on a number of compatible factorsout of which the transport infrastructure is considered to bethe most obvious and almost the most significant one, i.e. thefirst among the equal. This is primarily true for road traffic infrastructure,since road trai!Sportation of tourists by passengercars, buses and motorcycles accounts for more than 90 percentof the overall tourist journeys in Croatia.The topic of this paper is precisely, among other things, thetourist assessment of the Croatian road network by means ofthe so-called econometric model regarding the contribution ofa certain road route to the overall tourist traffic.Practical implementation of the elaborated problematicshould result in the improvement of road infrastructure eitherby constructing new motonvays and/or roads, or by reconstructionand/or modernisation of the existing traffic routes.

  8. Modeling Road Traffic Using Service Center

    Directory of Open Access Journals (Sweden)

    HARAGOS, I.-M.

    2012-05-01

    Full Text Available Transport systems have an essential role in modern society because they facilitate access to natural resources and they stimulate trade. Current studies aimed at improving transport networks by developing new methods for optimization. Because of the increase in the global number of cars, one of the most common problems facing the transport network is congestion. By creating traffic models and simulate them, we can avoid this problem and find appropriate solutions. In this paper we propose a new method for modeling traffic. This method considers road intersections as being service centers. A service center represents a set consisting of a queue followed by one or multiple servers. This model was used to simulate real situations in an urban traffic area. Based on this simulation, we have successfully determined the optimal functioning and we have computed the performance measures.

  9. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015.

    Science.gov (United States)

    Hebert, Debbie; Lindsay, M Patrice; McIntyre, Amanda; Kirton, Adam; Rumney, Peter G; Bagg, Stephen; Bayley, Mark; Dowlatshahi, Dar; Dukelow, Sean; Garnhum, Maridee; Glasser, Ev; Halabi, Mary-Lou; Kang, Ester; MacKay-Lyons, Marilyn; Martino, Rosemary; Rochette, Annie; Rowe, Sarah; Salbach, Nancy; Semenko, Brenda; Stack, Bridget; Swinton, Luchie; Weber, Valentine; Mayer, Matthew; Verrilli, Sue; DeVeber, Gabrielle; Andersen, John; Barlow, Karen; Cassidy, Caitlin; Dilenge, Marie-Emmanuelle; Fehlings, Darcy; Hung, Ryan; Iruthayarajah, Jerome; Lenz, Laura; Majnemer, Annette; Purtzki, Jacqueline; Rafay, Mubeen; Sonnenberg, Lyn K; Townley, Ashleigh; Janzen, Shannon; Foley, Norine; Teasell, Robert

    2016-06-01

    Stroke rehabilitation is a progressive, dynamic, goal-orientated process aimed at enabling a person with impairment to reach their optimal physical, cognitive, emotional, communicative, social and/or functional activity level. After a stroke, patients often continue to require rehabilitation for persistent deficits related to spasticity, upper and lower extremity dysfunction, shoulder and central pain, mobility/gait, dysphagia, vision, and communication. Each year in Canada 62,000 people experience a stroke. Among stroke survivors, over 6500 individuals access in-patient stroke rehabilitation and stay a median of 30 days (inter-quartile range 19 to 45 days). The 2015 update of the Canadian Stroke Best Practice Recommendations: Stroke Rehabilitation Practice Guidelines is a comprehensive summary of current evidence-based recommendations for all members of multidisciplinary teams working in a range of settings, who provide care to patients following stroke. These recommendations have been developed to address both the organization of stroke rehabilitation within a system of care (i.e., Initial Rehabilitation Assessment; Stroke Rehabilitation Units; Stroke Rehabilitation Teams; Delivery; Outpatient and Community-Based Rehabilitation), and specific interventions and management in stroke recovery and direct clinical care (i.e., Upper Extremity Dysfunction; Lower Extremity Dysfunction; Dysphagia and Malnutrition; Visual-Perceptual Deficits; Central Pain; Communication; Life Roles). In addition, stroke happens at any age, and therefore a new section has been added to the 2015 update to highlight components of stroke rehabilitation for children who have experienced a stroke, either prenatally, as a newborn, or during childhood. All recommendations have been assigned a level of evidence which reflects the strength and quality of current research evidence available to support the recommendation. The updated Rehabilitation Clinical Practice Guidelines feature several

  10. Restoration and Rehabilitation of world heritage Site of Chupan Church

    Science.gov (United States)

    Darvish Rohani, S.

    2015-08-01

    Church of Chupan is located in Jolfa cityin north of Iran and is laid at south side of Arax River. Built of the church traced back to 14th to 15th century and the time when Armenians were inhabited in the region. Chupan church had been inscribed at World Heritage List of UNESCO under no 1262 in 2008, as one of the five churches of "Armenian Monasteries of Azerbaijan province of Iran" dossier. As it is located at a religious and tourism road of Darresham and each year most of Armenian from all over the world visited the church as a part of a religious ceremony, also as the same church on opposite side of the Arax in Republic of Nakhchivan is completely destroyed between 1998-2002 and the church is the only existing evidence of these two couple church, the restoration and rehabilitation of chupan church is very important. Because of very bad statues of structure stability and long-term neglect of the conservation and preservation of the building, restoration and rehabilitation of the church in the earliest was necessary. Restoration of this church was my MA degree thesis and now as a Ph.D student in field of urban design and planning student, I am working on the next step which is to revitalization and rehabilitation of the church.

  11. Gold or green: the debate on open access policies.

    Science.gov (United States)

    Abadal, Ernest

    2013-09-01

    The movement for open access to science seeks to achieve unrestricted and free access to academic publications on the Internet. To this end, two mechanisms have been established: the gold road, in which scientific journals are openly accessible, and the green road, in which publications are self-archived in repositories. The publication of the Finch Report in 2012, advocating exclusively the adoption of the gold road, generated a debate as to whether either of the two options should be prioritized. The recommendations of the Finch Report stirred controversy among academicians specialized in open access issues, who felt that the role played by repositories was not adequately considered and because the green road places the burden of publishing costs basically on authors. The Finch Report's conclusions are compatible with the characteristics of science communication in the UK and they could surely also be applied to the (few) countries with a powerful publishing industry and substantial research funding. In Spain, both the current national legislation and the existing rules at universities largely advocate the green road. This is directly related to the structure of scientific communication in Spain, where many journals have little commercial significance, the system of charging a fee to authors has not been adopted, and there is a good repository infrastructure. As for open access policies, the performance of the scientific communication system in each country should be carefully analyzed to determine the most suitable open access strategy.

  12. Public roads in the opening of forests in forest management units of Sarajevo canton

    Directory of Open Access Journals (Sweden)

    Sokolović Dževada

    2015-01-01

    Full Text Available The primary network of forest roads consists of public and forest truck roads. Public roads in one forest area have been mainly built due to needs of local communities, access to rural areas, the development of tourism, recreation and so on. Forest truck roads have been built and maintained by those who manage forests (the forest management, while public roads have been managed by the Directorate for Roads of the Federation of B&H and cantonal and local governments. In the last twenty years, the sector for wood assortments transport in the Federation of B&H is in charge of the private transport operators which use vehicles of large capacities and high axle loads for the purpose of transport of as large as possible quantities of wooden mass per time unit. Due to this fact, the roads have deteriorated faster. The accelerated deterioration of the roads used for the transport of wooden assortments imposes the need for the allocation of larger funds for their maintenance. Due to the increasing damages on the roads the prohibitions of use of some public roads for wooden assortments transport occur more frequently. The aim of the research is to determine the total length of public roads which open Forest Management Units of Sarajevo Canton (FMU of SC and to investigate the possibility of using these categories of roads for forestry. For examination and analysis possibilities of using public roads for wooden assortments transport qualitative research - polls methods have been applied within the framework of the key representatives of the target groups such as forestry and the local community. In the questionnaire, two sets of questions were specified, the first one which is designed to determine the possible existence of problems of using public roads for transport of wooden assortments and possible causes of occurrence of the problems. The second group of questions gives some of the possible solutions for solving the problems of using public roads for

  13. Rehabilitation of patients with glioma.

    Science.gov (United States)

    Vargo, Mary; Henriksson, Roger; Salander, Pär

    2016-01-01

    Disabling sequelae occur in a majority of patients diagnosed with brain tumor, including glioma, such as cognitive deficits, weakness, and visual perceptual changes. Often, multiple impairments are present concurrently. Healthcare staff must be aware of the "biographic disruption" the patient with glioma has experienced. While prognostic considerations factor into rehabilitation goals and expectations, regardless of prognosis the treatment team must offer cohesive support, facilitating hope, function, and quality of life. Awareness of family and caregiver concerns plays an important role in the overall care. Inpatient rehabilitation, especially after surgical resection, has been shown to result in functional improvement and homegoing rates on a par with individuals with other neurologic conditions, such as stroke or traumatic brain injury. Community integration comprises a significant element of life satisfaction, as has been shown in childhood glioma survivors. Employment is often affected by the glioma diagnosis, but may be ameliorated, when appropriate, by addressing modifiable factors such as depression, fatigue, or sleep disturbance, or by workplace accommodations. Further research is needed into many facets of rehabilitation in the setting of glioma, including establishing better care models for consistently identifying and addressing functional limitations in this population, measuring outcomes of various levels of rehabilitation care, identifying optimal physical activity strategies, delineating the long-term effects of rehabilitation interventions, and exploring impact of rehabilitation interventions on caregiver burden. The effective elements of cognitive rehabilitation, including transition of cognitive strategies to everyday living, need to be better defined.

  14. [Challenges and trends in rehabilitation].

    Science.gov (United States)

    Bautz-Holter, Erik; Sveen, Unni; Søberg, Helene; Røe, Cecilie

    2007-02-01

    The definition of rehabilitation is debated, but the true sense of the word is "reinstatement in dignity." There is often a need for rehabilitation after diseases and injuries. Rehabilitation is founded on the individual's right to participate in society and to have equal opportunities in general, and can be considered both in a medical and a sociological perspective. WHO has developed "International Classification of Functioning, disability and health"-ICF. ICF reflects an understanding of function and disability in a bio-psychosocial model. The issues discussed in this article will be limited to rehabilitation within the Norwegian healthcare system. Rehabilitation is based on the individual's loss of function, irrespective of the injury or disease, and should focus on resources. Its main issue is the subject's own goals and wishes with respect to quality of life and total life situation. Many groups that have, or are in danger of acquiring reduced function are in need of rehabilitation, if this can prevent or reduce loss of function or participation. The measures taken can be directed over a wide spectrum, directed towards function and activity, and often with participation in a variety of life aspects as the main goal. Rehabilitation is presented with many challenges caused by the general development in society, including implementation of the medical and technological development and demand of scientific documentation.

  15. Prosthetic rehabilitation of an ocular defect with post-enucleation socket syndrome: A case report.

    Science.gov (United States)

    Amornvit, Pokpong; Rokaya, Dinesh; Shrestha, Binit; Srithavaj, Theerathavaj

    2014-01-01

    Ocular trauma can be caused by road traffic accidents, falls, assaults, or work-related accidents. Enucleation is often indicated after ocular injury or for the treatment of intraocular tumors, severe ocular infections, and painful blind eyes. Rehabilitation of an enucleated socket without an intraocular implant or with an inappropriately sized implant can result in superior sulcus deepening, enophthalmos, ptosis, ectropion, and lower lid laxity, which are collectively known as post-enucleation socket syndrome. This clinical report describes the rehabilitation of post-enucleation socket syndrome with a modified ocular prosthesis. Modifications to the ocular prosthesis were performed to correct the ptosis, superior sulcus deepening, and enophthalmos. The rehabilitation procedure produced satisfactory results.

  16. Successfully improving physical activity behavior after rehabilitation

    NARCIS (Netherlands)

    van der Ploeg, Hidde P; Streppel, Kitty R M; van der Beek, Allard J; van der Woude, Luc H V; Vollenbroek-Hutten, Miriam M R; van Harten, Wim H; van Mechelen, Willem; van der Woude, Lucas

    2007-01-01

    PURPOSE: To determine the effects of the physical activity promotion programs Rehabilitation & Sports (R&S) and Active after Rehabilitation (AaR) on sport and daily physical activity 1 year after in- or outpatient rehabilitation. DESIGN: Subjects in intervention rehabilitation centers were randomize

  17. REHABILITATION IN CARDIOLOGY AND CARDIOSURGERY

    Directory of Open Access Journals (Sweden)

    N. V. Galtseva

    2015-01-01

    Full Text Available At the present time effectiveness of rehabilitation programs after heart surgery, myocardial infarction, and in some cases for coronary artery disease (CAD is undeniable. According to the researches, physical exercises, which underlie cardio rehabilitation of patients with CAD, reduce cardiac mortality. In the review accumulated scientific data about modern approaches to cardio rehabilitation is discussed: goals, indications, contraindications, its organization, advantages. Controlled training in patients with CAD, making a complex program of cardio rehabilitation, kinds of control during cardio training are described in details. In this review the second phase of physical rehabilitation after cardiac surgery – a stationary phase, protocols of which are subjective and often contested, is considered. More frequently physical rehabilitation after coronary artery bypass surgery is doing breathing exercises, as there is data that physical exercises, in which tangential force vector in or around the sternum appears, should be avoided for at least 3 months after surgery. On the other hand, avoiding of heaving during the first weeks after surgery leads to more pronounced atrophy of the chest muscles. But there is data, according to which, early beginning of an adapted program of cardio rehabilitation (1–2 weeks after surgery is safely, it accelerates recovery and does not increase problems with the sternum. In this review the following idea is suggested: in order to follow the stages of rehabilitation after cardiac surgery it is necessary to start it on the stationary stage, and control of load rehabilitation programs must be carried out using hemodynamic changes during exercises, energy, SF-36 questionnaire. 

  18. Rehabilitative Games for Stroke Patients

    Directory of Open Access Journals (Sweden)

    A. Pyae

    2015-07-01

    Full Text Available Stroke is one of the major problems in medical and healthcare that can cause severe disability and death of patients especially for older population. Rehabilitation plays an important role in stroke therapy. However, most of the rehabilitative exercises are monotonous and tiring for the patients. For a particular time, they can easily get bored in doing these exercises. The role of patient’s motivation in rehabilitation is vital. Motivation and rehabilitative outcomes are strongly related. Digital games promise to help stroke patients to feel motivated and more engaged in rehabilitative training through motivational gameplay. Most of the commercial games available in the market are not well-designed for stroke patients and their motivational needs in rehabilitation. This study aims at understanding the motivational requirements of stroke patients in doing rehabilitative exercises and living in a post-stroke life. Based on the findings from the literature review, we report factors that can influence the stroke patients’ level of motivation such as social functioning, patient-therapist relationship, goal-setting, and music. These findings are insightful and useful for ideating and designing interactive motivation-driven games for stroke patients. The motivational factors of stroke patients in rehabilitation may help the game designers to design motivation-driven game contexts, contents, and gameplay. Moreover, these findings may also help healthcare professionals who concern stroke patient’s motivation in rehabilitative context. In this paper, we reported our Virtual Nursing Home (VNH concept and the games that we are currently developing and re-designing. Based on this literature review, we will present and test out the ideas how we can integrate these motivational factors in our future game design, development, and enhancement.

  19. Experiences of patients and service providers with out-patient rehabilitation services in a rehabilitation centre in the Western Cape Province

    Directory of Open Access Journals (Sweden)

    Anne Kumurenzi

    2015-02-01

    Full Text Available Background: Rehabilitation is important for persons with disabilities as it contributes to their sense of autonomy, self-worth and social participation, and improves their quality of life. Improving the quality of rehabilitation services requires the dialogue of patients’ perceptions with those of service providers, in order to recommend informed reform. Objective: The objective was to explore the experiences of persons with physical disabilities and service providers, regarding the multi-disciplinary rehabilitation services provided at a community-based out-patient rehabilitation centre. Methods: A qualitative, exploratory study design was used to collect the data. A focus group was conducted with conveniently selected persons with physical disabilities. Three in-depth interviews were conducted with purposively selected key informants. All ethical considerations were adhered to during the implementation of the study.Results: Patients and service providers had different experiences regarding accessibility to rehabilitation services, and similar experiences with patient education and intensity of rehabilitation. Although the patients experienced that the service providers had sufficient knowledge and skills to manage them, services providers expressed that they lacked certain skills.Conclusions: The experiences expressed highlighted the need to improve rehabilitation services in terms of increasing the capacity of service providers and providing transport services for persons with disabilities.

  20. Prospect for Development of Open Access in Argentina

    Science.gov (United States)

    Miguel, Sandra; Bongiovani, Paola C.; Gomez, Nancy D.; Bueno-de-la-Fuente, Gema

    2013-01-01

    This perspective article presents an overview of the Open Access movement in Argentina, from a global and regional (Latin American) context. The article describes the evolution and current state of initiatives by examining two principal approaches to Open Access in Argentina: "golden" and "green roads". The article will then…

  1. Rehabilitation with immediate denture

    Directory of Open Access Journals (Sweden)

    Mayelin de la Caridad Suárez González

    2015-06-01

    Full Text Available This is the case of a 42-year-old male patient, with past history of good health, active worker, who referred refusal to the period of tooth loss both for his own personality and work responsibility. On intra-buccal examination, his central superior and inferior incisors showed plenty of tooth decay that got most of his teeth structures; besides, on X-ray examination, horizontal bone loss is observed at third apical level of the present teeth and mobility grade III and IV, for what their extraction is indicated. From the prosthetic point of view, he was diagnosed as a superior and inferior partial edentulous patient, Kennedy class I. It was decided to rehabilitate by immediate superior and inferior total denture, performing previous multiple extractions with corrective alveoloplasty and alveolectomy. With the surgical and appliances treatment, excellent results were achieved, showing the effectiveness of this treatment.

  2. Cortical plasticity and rehabilitation.

    Science.gov (United States)

    Moucha, Raluca; Kilgard, Michael P

    2006-01-01

    The brain is constantly adapting to environmental and endogenous changes (including injury) that occur at every stage of life. The mechanisms that regulate neural plasticity have been refined over millions of years. Motivation and sensory experience directly shape the rewiring that makes learning and neurological recovery possible. Guiding neural reorganization in a manner that facilitates recovery of function is a primary goal of neurological rehabilitation. As the rules that govern neural plasticity become better understood, it will be possible to manipulate the sensory and motor experience of patients to induce specific forms of plasticity. This review summarizes our current knowledge regarding factors that regulate cortical plasticity, illustrates specific forms of reorganization induced by control of each factor, and suggests how to exploit these factors for clinical benefit.

  3. The impact of roads on the demography of grizzly bears in Alberta.

    Science.gov (United States)

    Boulanger, John; Stenhouse, Gordon B

    2014-01-01

    One of the principal factors that have reduced grizzly bear populations has been the creation of human access into grizzly bear habitat by roads built for resource extraction. Past studies have documented mortality and distributional changes of bears relative to roads but none have attempted to estimate the direct demographic impact of roads in terms of both survival rates, reproductive rates, and the interaction of reproductive state of female bears with survival rate. We applied a combination of survival and reproductive models to estimate demographic parameters for threatened grizzly bear populations in Alberta. Instead of attempting to estimate mean trend we explored factors which caused biological and spatial variation in population trend. We found that sex and age class survival was related to road density with subadult bears being most vulnerable to road-based mortality. A multi-state reproduction model found that females accompanied by cubs of the year and/or yearling cubs had lower survival rates compared to females with two year olds or no cubs. A demographic model found strong spatial gradients in population trend based upon road density. Threshold road densities needed to ensure population stability were estimated to further refine targets for population recovery of grizzly bears in Alberta. Models that considered lowered survival of females with dependant offspring resulted in lower road density thresholds to ensure stable bear populations. Our results demonstrate likely spatial variation in population trend and provide an example how demographic analysis can be used to refine and direct conservation measures for threatened species.

  4. A rehabilitation model as key to comprehensive care in the era of HIV as a chronic disease in South Africa.

    Science.gov (United States)

    Chetty, Verusia; Hanass-Hancock, Jill

    2016-01-01

    In the era of widespread access to antiretroviral therapy, people living with HIV survive; however, this comes with new experiences of comorbidities and HIV-related disability posing new challenges to rehabilitation professionals and an already fragile health system in Southern Africa. Public health approaches to HIV need to include not only prevention, treatment and support but also rehabilitation. While some well-resourced countries have developed rehabilitation approaches for HIV, resource-poor settings of Southern Africa lack a model of care that includes rehabilitation approaches providing accessible and comprehensive care for people living with HIV. In this study, a learning in action approach was used to conceptualize a comprehensive model of care that addresses HIV-related disability and a feasible rehabilitation framework for resource-poor settings. The study used qualitative methods in the form of a focus group discussion with thirty participants including people living with HIV, the multidisciplinary healthcare team and community outreach partners at a semi-rural health facility in South Africa. The discussion focused on barriers and enablers of access to rehabilitation. Participants identified barriers at various levels, including transport, physical access, financial constraints and poor multi-stakeholder team interaction. The results of the group discussions informed the design of an inclusive model of HIV care. This model was further informed by established integrated rehabilitation models. Participants emphasized that objectives need to respond to policy, improve access to patient-centered care and maintain a multidisciplinary team approach. They proposed that guiding principles should include efficient communication, collaboration of all stakeholders and leadership in teams to enable staff to implement the model. Training of professional staff and lay personnel within task-shifting approaches was seen as an essential enabler to implementation. The

  5. Vanuatu - HDM-4 Analysis of the Efate Ring Road and the Santo East Coast Road

    Data.gov (United States)

    Millennium Challenge Corporation — The Millennium Challenge Corporation (MCC) provided funds for the upgrade of two roads in Vanuatu. These were the Efate Ring Road and the Santo East Coast Road. Both...

  6. VOICE REHABILITATION FOLLOWING TOTAL LARYNGECTOMY

    Directory of Open Access Journals (Sweden)

    Balasubramanian Thiagarajan

    2015-03-01

    Full Text Available Despite continuing advances in surgical management of laryngeal malignancy, total laryngectomy is still the treatment of choice in advanced laryngeal malignancies. Considering the longevity of the patient following total laryngectomy, various measures have been adopted in order to provide voice function to the patient. Significant advancements have taken place in voice rehabilitation of post laryngectomy patients. Advancements in oncological surgical techniques and irradiation techniques have literally cured laryngeal malignancies. Among the various voice rehabilitation techniques available TEP (Tracheo oesophageal puncture is considered to be the gold standard. This article attempts to explore the various voice rehabilitation technique available with primary focus on TEP.

  7. The Regional Wine Road of Pannonian Croatia

    Directory of Open Access Journals (Sweden)

    Nataša Drvenkar

    2010-07-01

    Full Text Available The increasingly present global tourist trends represent a challenge for the national economies in generating competitiveness and tourist positioning in such conditions. With the objective of attaining global competitiveness of the country, it is necessary to develop regional competitiveness because of the significant role of the region as the basic unit of development. The distinct regional imbalance of Croatia creates the need to find some new generators of economic growth and prosperity. Pannonian Croatia (as one of the three NUTS2 regions has remarkable potential for the development of wine tourism which could positively influence the regional competitiveness in a number of its segments. Pannonian Croatia has at its disposal 87% of all agricultural land and 62% of all vineyards in Croatia. Such natural wealth (used in an efficient, effective and, above all, innovative way should be taken into account upon introducing the new tourist trends and the creation of the tourist product. Indigenous products, the uniqueness of the tourist destinations, and the desire for the complete tourism supply are the opportunities that this region should identify and include into a specific strategy and the guidelines for future activities. The project of development and implementation of the regional wine road itself would be based on connecting the micro-regions of the viticulture and wine supply of Pannonian Croatia and creating a unique tourist product with indigenous characteristics. In order to achieve competitive advantage for the region, it is necessary to identify and estimate the key factors of development. Porter’s diamond model of the regional Pannonian Croatia wine road would enable the recognition of all the relevant factors of development and the creation of a unique tourist product. The guidelines obtained by the analysis of the diamond factors will be used in making the triple helix model of the regional wine road. The triple helix model

  8. In-place rehabilitation of process sewers

    Energy Technology Data Exchange (ETDEWEB)

    Arles, K.R.; Faller, C.C. [E.I. DuPont de Nemours and Co., Inc., Wilmington, DE (United States)

    1996-07-01

    The majority of petrochemical manufacturing facilities have thousands of feet of existing underground gravity sewers that convey the site`s industrial wastes to treatment facilities. The integrity of these sewer systems is a serious concern to owners. A potential consequence of leaks is soil and groundwater contamination. Prior to 1992, only two options were available to remedy this situation. The sewer systems could be replaced with either a new dual-walled, monitored underground pipe system via direct bury, or with an above ground pumped system. In 1992, Engineering, in conjunction with several trenchless technology vendors, developed and demonstrated modified relining systems that can rehabilitate existing sewers and result in monitored dual-walled gravity sewer systems. These proven systems have since been enhanced, upgraded, and installed at two operating facilities. With thorough sewer investigation and assessments, industry now has viable, cost effective options to rehabilitate underground chemical process sewers. These upgraded sewer systems provide the environmental security of monitored dual-walled pipe, enhanced flow characteristics, and retain accessibility for maintenance and inspections.

  9. IMPROVING ACCESS TO DRUGS

    Directory of Open Access Journals (Sweden)

    Max Joseph Herman

    2012-11-01

    Full Text Available Although essentially not all therapies need drug intervention, drugs is still an important components in health sector, either in preventive, curative, rehabilitative or promotion efforts. Hence the access to drugs is a main problem, either in international or national scale even to the smallest unit. The problem on access to drugs is very complicated and cannot be separated especially from pharmacy management problems; moreover in general from the overall lack of policy development and effective of health policy, and also the implementation process. With the policy development and effective health policy, rational drug uses, sufficient health service budget so a country can overcome the health problems. Besides infrastructures, regulations, distribution and cultural influences; the main obstacles for drug access is drugs affordability if the price of drugs is an important part and determined by many factors, especially the drug status whether is still patent orgenerics that significantly decrease cost of health cares and enhance the drugs affordability. The determination of essential drug prices in developing countries should based on equity principal so that poor people pay cheaper and could afford the essential drugs. WHO predicts two third of world population can not afford the essential drugs in which in developing countries, some are because of in efficient budget allocation in consequence of drug distribution management, including incorrect selection and allocation and also irrational uses. In part these could be overcome by enhancing performances on the allocation pharmacy needs, including the management of information system, inventory management, stock management and the distribution. Key words: access, drugs, essential drugs, generic drugs

  10. Encapsulating Urban Traffic Rhythms into Road Networks

    Science.gov (United States)

    Wang, Junjie; Wei, Dong; He, Kun; Gong, Hang; Wang, Pu

    2014-02-01

    Using road GIS (geographical information systems) data and travel demand data for two U.S. urban areas, the dynamical driver sources of each road segment were located. A method to target road clusters closely related to urban traffic congestion was then developed to improve road network efficiency. The targeted road clusters show different spatial distributions at different times of a day, indicating that our method can encapsulate dynamical travel demand information into the road networks. As a proof of concept, when we lowered the speed limit or increased the capacity of road segments in the targeted road clusters, we found that both the number of congested roads and extra travel time were effectively reduced. In addition, the proposed modeling framework provided new insights on the optimization of transport efficiency in any infrastructure network with a specific supply and demand distribution.

  11. Road Nail: Experimental Solar Powered Intelligent Road Marking System

    Science.gov (United States)

    Samardžija, Dragan; Teslić, Nikola; Todorović, Branislav M.; Kovač, Erne; Isailović, Đorđe; Miladinović, Bojan

    2012-03-01

    Driving in low visibility conditions (night time, fog or heavy precipitation) is particularly challenging task with an increased probability of traffic accidents and possible injuries. Road Nail is a solar powered intelligent road marking system of wirelessly networked signaling devices that improve driver safety in low visibility conditions along hazardous roadways. Nails or signaling devices are autonomous nodes with capability to accumulate energy, exchange wireless messages, detect approaching vehicles and emit signalization light. We have built an experimental test-bed that consists of 20 nodes and a cellular gateway. Implementation details of the above system, including extensive measurements and performance evaluations in realistic field deployments are presented. A novel distributed network topology discovery scheme is proposed which integrates both sensor and wireless communication aspects, where nodes act autonomously. Finally, integration of the Road Nail system with the cellular network and the Internet is described.

  12. Open Access

    Science.gov (United States)

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder…

  13. 75 FR 21614 - Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation...

    Science.gov (United States)

    2010-04-26

    ... of Announcement I. Funding Opportunity Description Purpose of Program: The Rehabilitation Short-Term Training program supports special seminars, institutes, workshops, and other short-term courses in... Office of Special Education and Rehabilitative Services; Overview Information; Rehabilitation...

  14. Penile rehabilitation after radical prostatectomy

    DEFF Research Database (Denmark)

    Fode, Mikkel; Ohl, Dana A; Ralph, David;

    2013-01-01

    The pathophysiology of erectile dysfunction after radical prostatectomy (RP) is believed to include neuropraxia, which leads to temporarily reduced oxygenation and subsequent structural changes in penile tissue. This results in veno-occlusive dysfunction, therefore, penile rehabilitation programm...

  15. Rehabilitation Counselor Certification: Moving Forward

    Science.gov (United States)

    Saunders, Jodi L.; Barros-Bailey, Mary; Chapman, Cindy; Nunez, Patricia

    2009-01-01

    This article provides a brief history of the Commission on Rehabilitation Counselor Certification and presents recent changes and strategic goals for moving forward. Challenges and opportunities for the profession in relation to certification are also discussed. (Contains 3 tables.)

  16. Hamstring injuries: Prevention and rehabilitation

    OpenAIRE

    KALLIS KALLI; STASINOPOULOS DIMITRIOS

    2016-01-01

    A review was conducted to present current views and effectiveness of prevention and rehabilitation methods of hamstring injuries. Methods: a review searching on the electronic data bases, including Proquest, Medline, Sport Discus, Cinahl plus, Health source Nursing / Academic edition, Academic search complete, Pub med and Scholar Google. Only randomized control studies (RCT'S were included) which contained the intervention and control groups concerning either the prevention or rehabilitation ...

  17. Rehabilitation of lower limb amputees

    OpenAIRE

    Kovač, Ida; KAUZLARIĆ, NEVEN; Živković, Ognjen; Mužić, Vedrana; ABRAMOVIĆ, Marina; VULETIĆ, Zoran; Vukić, Tamara; IŠTVANOVIĆ, Neven; LIVAKOVIĆ, BRANKO

    2015-01-01

    Rehabilitation of amputees represents a complex process during the course of which an amputee receives professional aid and support, so as to adapt to the use of prosthesis, i.e. an artificial supplement for the lost body part. The process aims at achieving an independent performance of the amputee in all areas of everyday life and as high quality of life as possible. The rehabilitation encompasses not only the pre-amputation, postoperative, pre-prosthetic and prosthetic stage, within which a...

  18. Psychosocial rehabilitation in developing countries.

    Science.gov (United States)

    Rangaswamy, Thara; Sujit, John

    2012-10-01

    Psychosocial rehabilitation (PSR) is an essential component in the management of schizophrenia. It is especially relevant in the improvement of functioning and the quality of life of these individuals. The scarcity of mental health personnel and lack of training in many low and middle income countries (LAMIC) has led to low priority being accorded to PSR. This paper describes some of the PSR initiatives in LAMIC, especially those undertaken after disasters, home-based interventions and community-based rehabilitation programmes.

  19. Music therapy in neurological rehabilitation settings

    Directory of Open Access Journals (Sweden)

    Elżbieta Galińska

    2015-08-01

    Full Text Available The neurologic music therapy is a new scope of music therapy. Its techniques deal with dysfunctions resulting from diseases of the human nervous system. Music can be used as an alternative modality to access functions unavailable through non-musical stimulus. Processes in the brain activated by the influence of music can be generalized and transferred to non-musical functions. Therefore, in clinical practice, the translation of non-musical therapeutic exercises into analogous, isomorphic musical exercises is performed. They make use of the executive peculiarity of musical instruments and musical structures to prime, cue and coordinate movements. Among musical components, a repetitive rhythm plays a significant role. It regulates physiologic and behavioural functions through the mechanism of entrainment (synchronization of biological rhythms with musical rhythm based on acoustic resonance. It is especially relevant for patients with a deficient internal timing system in the brain. Additionally, regular rhythmic patterns facilitate memory encoding and decoding of non-musical information hence music is an efficient mnemonic tool. The music as a hierarchical, compound language of time, with its unique ability to access affective/motivational systems in the brain, provides time structures enhancing perception processes, mainly in the range of cognition, language and motor learning. It allows for emotional expression and improvement of the motivation for rehabilitation activities. The new technologies of rhythmic sensory stimulation (i.e. Binaural Beat Stimulation or rhythmic music in combination with rhythmic light therapy appear. This multimodal forms of stimulation are used in the treatment of stroke, brain injury, dementia and other cognitive deficits. Clinical outcome studies provide evidence of the significant superiority of rehabilitation with music over the one without music.

  20. Music therapy in neurological rehabilitation settings.

    Science.gov (United States)

    Galińska, Elżbieta

    2015-01-01

    The neurologic music therapy is a new scope of music therapy. Its techniques deal with dysfunctions resulting from diseases of the human nervous system. Music can be used as an alternative modality to access functions unavailable through non-musical stimulus. Processes in the brain activated by the influence of music can be generalized and transferred to non-musical functions. Therefore, in clinical practice, the translation of non-musical therapeutic exercises into analogous, isomorphic musical exercises is performed. They make use of the executive peculiarity of musical instruments and musical structures to prime, cue and coordinate movements. Among musical components, a repetitive rhythm plays a significant role. It regulates physiologic and behavioural functions through the mechanism of entrainment (synchronization of biological rhythms with musical rhythm based on acoustic resonance). It is especially relevant for patients with a deficient internal timing system in the brain. Additionally, regular rhythmic patterns facilitate memory encoding and decoding of non-musical information hence music is an efficient mnemonic tool. The music as a hierarchical, compound language of time, with its unique ability to access affective/motivational systems in the brain, provides time structures enhancing perception processes, mainly in the range of cognition, language and motor learning. It allows for emotional expression and improvement of the motivation for rehabilitation activities. The new technologies of rhythmic sensory stimulation (i.e. Binaural Beat Stimulation) or rhythmic music in combination with rhythmic light therapy appear. This multimodal forms of stimulation are used in the treatment of stroke, brain injury, dementia and other cognitive deficits. Clinical outcome studies provide evidence of the significant superiority of rehabilitation with music over the one without music.

  1. Location of Road Emergency Stations in Fars Province, Using Spatial

    Directory of Open Access Journals (Sweden)

    Ali Goli

    2015-01-01

    Full Text Available Objectives: To locate the road emergency stations in Fars province based on using spatial multi-criteria decision making (Delphi method. Methods: In this study, the criteria affecting the location of road emergency stations have been identified through Delphi method and their importance was determined using Analytical Hierarchical Process (AHP. With regard to the importance of the criteria and by using Geographical Information System (GIS, the appropriateness of the existing stations with the criteria and the way of their distribution has been explored, and the appropriate arenas for creating new emergency stations were determined. In order to investigate the spatial distribution pattern of the stations, Moran’s Index was used. Results: The accidents (0.318, placement position (0.235, time (0.198, roads (0.160, and population (0.079 were introduced as the main criteria in location road emergency stations. The findings showed that the distribution of the existing stations was clustering (Moran’s I=0.3. Three priorities were introduced for establishing new stations. Some arenas including Abade, north of Eghlid and Khoram bid, and small parts of Shiraz, Farashband, Bavanat, and Kazeroon were suggested as the first priority. Conclusion: GIS is a useful and applicable tool in investigating spatial distribution and geographical accessibility to the setting that provide health care, including emergency stations

  2. Road characteristics and bicycle accidents.

    Science.gov (United States)

    Nyberg, P; Björnstig, U; Bygren, L O

    1996-12-01

    In Umeå, Sweden, defects in the physical road surface contributed to nearly half of the single bicycle accidents. The total social cost of these injuries to people amount to at least SEK 20 million (SEK 60,000 or about USD 8,500 per accident), which corresponds to the estimated loss of "eight life equivalents a year". Improved winter maintenance seems to have the greatest injury prevention potential and would probably reduce the number of injuries considerably, whereas improved road quality and modification of kerbs would reduce the most severe injuries. A local traffic safety program should try to prevent road accidents instead of handling the consequences of them. In accordance with Parliament decisions on traffic we would like to see increased investment in measures favoring bicycle traffic, where cycling is seen as a solution, not as a problem.

  3. Cardiac Rehabilitation Program at Rehabilitation Hospital of the Pacific

    Science.gov (United States)

    Spanuchart, Ittikorn; Mausolf, Chris; Gabriel, Susie; Tsubota, Shawn; Baker, Justina; Fukuyama, Osamu

    2014-01-01

    Introduction: For the past 20 years, multiple studies have demonstrated that cardiac rehabilitation and secondary prevention programs reduce cardiovascular risk and event rates significantly (up to 20%–25%) in patients with acute coronary syndrome (ACS), stable ischemic heart disease (IHD), and patients who have undergone percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). Consequently, the American Heart Association (AHA) and American College of Cardiology (ACC) designated cardiac rehabilitation as a Class I indication for these patients. Status: On the island of O‘ahu, comprehensive cardiac rehabilitation programs have not been available at any of the major hospitals for at least the past several years. Because of the desperate need for these services, Rehabilitation Hospital of the Pacific (REHAB) officially instituted a comprehensive cardiac rehabilitation program that is the only cardiac rehab program on the island of Oahu that contributes to the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) data registry and has been going through the process of national certification effective as of December 1, 2012. It is well-known that the major problem of cardiac rehabilitation programs in this country is suboptimal participation, ie, only 25%–30% of eligible patients are actually referred to these programs. Our data suggests that underutilization of cardiac rehab programs is extremely severe here in Honolulu where probably less than 5% of eligible patients are actually referred to this program. We will discuss the importance of improving utilization at the patient level, physician level, third-party payer level, in the general medical community as well as in the general public to positively impact overall mortality and morbidity in the state of Hawai‘i.

  4. Carbon Nanomaterials for Road Construction

    Directory of Open Access Journals (Sweden)

    Zaporotskova Irina Vladimirovna

    2015-05-01

    Full Text Available The requirement of developing and modernizing the roads in Russia and in the Volgograd region in particular, is based on need of expanding the directions of scientific research on road and transport complexes. They have to be aimed at the development of the theory of transport streams, traffic safety increase, and, first of all, at the application of original methods of road development and modernization, introduction of modern technologies and road-building materials.On the basis of the analysis of the plans for transportation sphere development in the Volgograd region assuming the need to apply the new technologies allowing to create qualitative paving, the authors propose the technology of creating a heavy-duty paving with the use of carbon nanomaterial. The knowledge on strengthening the characteristics of carbon nanotubes is a unique material for nanotechnology development which allowed to assume the analysis of general information about asphalt concrete. The analysis showed that carbon nanotubes can be used for improvement of operational characteristics of asphalt concrete, and it is possible to carry out additives of nanotubes in hot as well as in cold bitumen. The article contains the basic principles of creation of the new road material received by means of bitumen reinforcing by carbon nanotubes. The structures received by the offered technique binding on the basis of the bitumens modified by carbon nanomaterial can be used for coverings and bases on highways of all categories in all road and climatic zones of Russia. The technical result consists in increasing the durability and elasticity of the received asphalt covering, and also the increase of water resistance, heat resistance and frost resistance, the expansion of temperature range of its laying in the field of negative temperatures.

  5. PHOTOGRAMMETRIC TECHNIQUES FOR ROAD SURFACE ANALYSIS

    Directory of Open Access Journals (Sweden)

    V. A. Knyaz

    2016-06-01

    Full Text Available The quality and condition of a road surface is of great importance for convenience and safety of driving. So the investigations of the behaviour of road materials in laboratory conditions and monitoring of existing roads are widely fulfilled for controlling a geometric parameters and detecting defects in the road surface. Photogrammetry as accurate non-contact measuring method provides powerful means for solving different tasks in road surface reconstruction and analysis. The range of dimensions concerned in road surface analysis can have great variation from tenths of millimetre to hundreds meters and more. So a set of techniques is needed to meet all requirements of road parameters estimation. Two photogrammetric techniques for road surface analysis are presented: for accurate measuring of road pavement and for road surface reconstruction based on imagery obtained from unmanned aerial vehicle. The first technique uses photogrammetric system based on structured light for fast and accurate surface 3D reconstruction and it allows analysing the characteristics of road texture and monitoring the pavement behaviour. The second technique provides dense 3D model road suitable for road macro parameters estimation.

  6. Photogrammetric Techniques for Road Surface Analysis

    Science.gov (United States)

    Knyaz, V. A.; Chibunichev, A. G.

    2016-06-01

    The quality and condition of a road surface is of great importance for convenience and safety of driving. So the investigations of the behaviour of road materials in laboratory conditions and monitoring of existing roads are widely fulfilled for controlling a geometric parameters and detecting defects in the road surface. Photogrammetry as accurate non-contact measuring method provides powerful means for solving different tasks in road surface reconstruction and analysis. The range of dimensions concerned in road surface analysis can have great variation from tenths of millimetre to hundreds meters and more. So a set of techniques is needed to meet all requirements of road parameters estimation. Two photogrammetric techniques for road surface analysis are presented: for accurate measuring of road pavement and for road surface reconstruction based on imagery obtained from unmanned aerial vehicle. The first technique uses photogrammetric system based on structured light for fast and accurate surface 3D reconstruction and it allows analysing the characteristics of road texture and monitoring the pavement behaviour. The second technique provides dense 3D model road suitable for road macro parameters estimation.

  7. A global strategy for road building.

    Science.gov (United States)

    Laurance, William F; Clements, Gopalasamy Reuben; Sloan, Sean; O'Connell, Christine S; Mueller, Nathan D; Goosem, Miriam; Venter, Oscar; Edwards, David P; Phalan, Ben; Balmford, Andrew; Van Der Ree, Rodney; Arrea, Irene Burgues

    2014-09-11

    The number and extent of roads will expand dramatically this century. Globally, at least 25 million kilometres of new roads are anticipated by 2050; a 60% increase in the total length of roads over that in 2010. Nine-tenths of all road construction is expected to occur in developing nations, including many regions that sustain exceptional biodiversity and vital ecosystem services. Roads penetrating into wilderness or frontier areas are a major proximate driver of habitat loss and fragmentation, wildfires, overhunting and other environmental degradation, often with irreversible impacts on ecosystems. Unfortunately, much road proliferation is chaotic or poorly planned, and the rate of expansion is so great that it often overwhelms the capacity of environmental planners and managers. Here we present a global scheme for prioritizing road building. This large-scale zoning plan seeks to limit the environmental costs of road expansion while maximizing its benefits for human development, by helping to increase agricultural production, which is an urgent priority given that global food demand could double by mid-century. Our analysis identifies areas with high environmental values where future road building should be avoided if possible, areas where strategic road improvements could promote agricultural development with relatively modest environmental costs, and 'conflict areas' where road building could have sizeable benefits for agriculture but with serious environmental damage. Our plan provides a template for proactively zoning and prioritizing roads during the most explosive era of road expansion in human history.

  8. Protocols for toll road systems

    OpenAIRE

    2013-01-01

    A problem in a tolling system like AutoPASS is the number of unidentified passages due to unreadable license plates. As a consequence money is lost for the toll road companies. A scheme is proposed that uses anonymous statistics to aid in the process of allocating resources for manual controls. Due to legal requirements for anonymity of data produced at toll plazas, a model that simulates the traffic frequencies on Norwegian roads is developed and implemented in Java. Using the toll plazas th...

  9. Facial Reconstruction and Rehabilitation.

    Science.gov (United States)

    Guntinas-Lichius, Orlando; Genther, Dane J; Byrne, Patrick J

    2016-01-01

    Extracranial infiltration of the facial nerve by salivary gland tumors is the most frequent cause of facial palsy secondary to malignancy. Nevertheless, facial palsy related to salivary gland cancer is uncommon. Therefore, reconstructive facial reanimation surgery is not a routine undertaking for most head and neck surgeons. The primary aims of facial reanimation are to restore tone, symmetry, and movement to the paralyzed face. Such restoration should improve the patient's objective motor function and subjective quality of life. The surgical procedures for facial reanimation rely heavily on long-established techniques, but many advances and improvements have been made in recent years. In the past, published experiences on strategies for optimizing functional outcomes in facial paralysis patients were primarily based on small case series and described a wide variety of surgical techniques. However, in the recent years, larger series have been published from high-volume centers with significant and specialized experience in surgical and nonsurgical reanimation of the paralyzed face that have informed modern treatment. This chapter reviews the most important diagnostic methods used for the evaluation of facial paralysis to optimize the planning of each individual's treatment and discusses surgical and nonsurgical techniques for facial rehabilitation based on the contemporary literature.

  10. The impact of logging roads on dung beetle assemblages in a tropical rainforest reserve.

    Science.gov (United States)

    Edwards, Felicity A; Finan, Jessica; Graham, Lucy K; Larsen, Trond H; Wilcove, David S; Hsu, Wayne W; Chey, V K; Hamer, Keith C

    2017-01-01

    The demand for timber products is facilitating the degradation and opening up of large areas of intact habitats rich in biodiversity. Logging creates an extensive network of access roads within the forest, yet these are commonly ignored or excluded when assessing impacts of logging on forest biodiversity. Here we determine the impact of these roads on the overall condition of selectively logged forests in Borneo, Southeast Asia. Focusing on dung beetles along > 40 km logging roads we determine: (i) the magnitude and extent of edge effects alongside logging roads; (ii) whether vegetation characteristics can explain patterns in dung beetle communities, and; (iii) how the inclusion of road edge forest impacts dung beetle assemblages within the overall logged landscape. We found that while vegetation structure was significantly affected up to 34 m from the road edge, impacts on dung beetle communities penetrated much further and were discernible up to 170 m into the forest interior. We found larger species and particularly tunnelling species responded more than other functional groups which were also influenced by micro-habitat variation. We provide important new insights into the long-term ecological impacts of tropical logging. We also support calls for improved logging road design both during and after timber extraction to conserve more effectively biodiversity in production forests, for instance, by considering the minimum volume of timber, per unit length of logging road needed to justify road construction. In particular, we suggest that governments and certification bodies need to highlight more clearly the biodiversity and environmental impacts of logging roads.

  11. The angular nature of road networks

    CERN Document Server

    Molinero, Carlos; Arcaute, Elsa

    2015-01-01

    Road networks are characterised by several structural and geometric properties. Their topological structure determines partially its hierarchical arrangement, but since these are networks that are spatially situated and, therefore, spatially constrained, to fully understand the role that each road plays in the system it is fundamental to characterize the influence that geometrical properties have over the network's behaviour. In this work, we percolate the UK's road network using the relative angle between street segments as the occupation probability. We argue that road networks undergo a non-equilibrium first-order phase transition at the moment the main roads start to interconnect forming the spanning percolation cluster. The percolation process uncovers the hierarchical structure of the roads in the network, and as such, its classification. Furthermore, this technique serves to extract the set of most important roads of the network and to create a hierarchical index for each road in the system.

  12. Introduction to the special issue from the proceedings of the 2006 International Workshop on Virtual Reality in Rehabilitation

    Directory of Open Access Journals (Sweden)

    Keshner Emily A

    2007-06-01

    Full Text Available Abstract New technologies are rapidly having a great impact on the development of novel rehabilitation interventions. One of the more popular of these technological advances is virtual reality. The wide range of applications of this technology, from immersive environments to tele-rehabilitation equipment and care, lends versatility to its use as a rehabilitation intervention. But increasing access to this technology requires that we further our understanding about its impact on a performer. The International Workshop on Virtual Reality in Rehabilitation (IWVR, now known as Virtual Rehabilitation 2007, is a conference that emerged from the need to discover how virtual reality could be applied to rehabilitation practice. Individuals from multiple disciplines concerned with the development, transmission, and evaluation of virtual reality as a technology applied to rehabilitation attend this meeting to share their work. In this special issue of the Journal of NeuroEngineering and Rehabilitation we are sharing some of the papers presented at the 2006 meeting of IWVR with the objective of offering a description of the state of the art in this research field. A perusal of these papers will provide a good cross-section of the emerging work in this area as well as inform the reader about new findings relevant to research and practice in rehabilitation.

  13. Perception from Barrier and Facilitator for Providing of Early Rehabilitation Care for RTI Victims

    Directory of Open Access Journals (Sweden)

    Pashaei Sabet

    2015-08-01

    Full Text Available Background Road traffic injuries (RTIs are a major public health problem and the most important cause of disability, morbidity and mortality worldwide. Early rehabilitation can play a significant role in minimizing complications, morbidity and mortality. Objectives The aim of this study was to describe perceptions of barriers precluding provision of early rehabilitation care for RTI victims. Patients and Methods A qualitative content analysis was carried out on 15 nurses with at least one year experience caring for RTI victims. The nurses were selected from various wards (emergency, orthopedic, neurosurgery, and clinic of Sina and Imam Khomeini Hospitals via targeted sampling. Data were collected through semi-structured interviews and targeted sampling until data saturation. Data were analyzed and assessed. Results After continuous analysis and comparison of data, major causes precluding nurses from early rehabilitation of RTI patients were retrieved. These barriers included: (a lack of insight, (b lack of comprehensive care (c excessive costs; facilitating factors included (d training for cooperation and (e support for coping. Conclusions The findings of this study show that the need for early rehabilitation in the hospital phase of care for RTI victims is needed. Knowledge about the barriers precluding nurses from early rehabiltiation of RTI patients and facilitators that can help health care workers and policy makers eliminate the barriers precluding early rehabilitation can help health care workers, especially nurses enable patients get over their disability and gain social and family support.

  14. Trismus: An unusual presentation following road accident

    Directory of Open Access Journals (Sweden)

    Thakur Jagdeep

    2007-01-01

    Full Text Available Trismus due to trauma usually follows road accidents leading to massive faciomaxillary injury. In the literature there is no report of a foreign body causing trismus following a road accident, this rare case is an exception. We present a case of isolated presentation of trismus following a road accident. This case report stresses on the thorough evaluation of patients presenting with trismus following a road accident.

  15. Tire-road noise: an experimental study of tire and road design parameters

    NARCIS (Netherlands)

    Bekke, Dirk; Wijnant, Ysbrand; Weegerink, Thijs; Boer, de Andre

    2013-01-01

    It is widely known that road traffic noise has negative influences on human health. Hence, as tire-road noise is considered to be the most dominant cause of road traffic noise above 30-50 km/h, a lot of research is performed by the two involving industries: road authorities/manufacturers and tire ma

  16. Ranking EU progress on road safety : 10th road safety Performance Index (PIN) report.

    NARCIS (Netherlands)

    Adminaite, D. Jost, G. Stipdonk, H. & Ward, H.

    2016-01-01

    In 2010, the European Union renewed its commitment to improve road safety by setting a target of reducing road deaths by 50% by 2020, compared to 2010 levels. This target followed an earlier target set in 2001 to halve road deaths by 2010. 2015 was the second consecutive poor year for road safety; 2

  17. Evaluation of a telerehabilitation system for community-based rehabilitation.

    Science.gov (United States)

    Schutte, Jamie; Gales, Sara; Filippone, Ashlee; Saptono, Andi; Parmanto, Bambang; McCue, Michael

    2012-01-01

    The use of web-based portals, while increasing in popularity in the fields of medicine and research, are rarely reported on in community-based rehabilitation programs. A program within the Pennsylvania Office of Vocational Rehabilitation's Hiram G. Andrews Center, the Cognitive Skills Enhancement Program (CSEP), sought to enhance organization of program and participant information and communication between part- and full-time employees, supervisors and consultants. A telerehabilitation system was developed consisting of (1) a web-based portal to support a variety of clinical activities, and (2) the Versatile Integrated System for Telerehabilitation (VISYTER) video-conferencing system to support the collaboration and delivery of rehabilitation services remotely. This descriptive evaluation examines the usability of the telerehabilitation system incorporating both the portal and VISYTER. Telerehabilitation system users include CSEP staff members from three geographical locations and employed by two institutions. The IBM After-Scenario Questionnaire (ASQ) and Post-Study System Usability Questionnaire (PSSUQ), the Telehealth Usability Questionnaire (TUQ), and two demographic surveys were administered to gather both objective and subjective information. Results showed generally high levels of usability. Users commented that the telerehabilitation system improved communication, increased access to information, improved speed of completing tasks, and had an appealing interface. Areas where users would like to see improvements, including ease of accessing/editing documents and searching for information, are discussed.

  18. IN SPHERE OF ROAD BUILDING

    Directory of Open Access Journals (Sweden)

    Shakhov Oleg Fedorovich

    2012-09-01

    Full Text Available At present, it is necessary to use concession bases of development of national transport systems more widely considering the importance of road building, and also that fact that interests of the state and managing subjects - participants of investment building activity have differently directed vectors.

  19. Pollution-free road lighting

    Science.gov (United States)

    Schreuder, Duco A.

    They relate to reducing road accidents and some forms of crime but also enhance the social safety of residents and pedestrians and the amenity for residents. Road traffic in developing countries is much more hazardous than in industrialized countries. Accident rates in 'low' income countries may be as much as 35 times higher than in 'high' income countries. Thus, it might be much more cost-effective to light roads in the developing world than in the industrialized world. Fighting light pollution is more pressing in developing countries as most of the major high-class astronomical observatories are there. Astronomical observations are disturbed by light from outdoor lighting installations, part of which is scattered in the atmosphere to form 'sky glow'. The International Lighting Commission CIE has published a Technical Report giving general guidance for lighting designers and policy makers on the reduction of the sky glow. Lighting improves visibility, essential for almost all human activity. However, light that hits the road contributes to visibility only if it is reflected. In poorly designed lighting equipment much of the lumen output of the lamps is sent directly upwards. This can be avoided by properly defined light fittings. The light output of fittings is determined by their optical quality and by the installation maintenance factor. Open fittings are to be preferred. If mounted horizontally, they make street lighting with the least light pollution.

  20. Headway times and road safety.

    NARCIS (Netherlands)

    2007-01-01

    In road traffic, the advice is to maintain a minimum distance of two seconds to the vehicle in front. This headway time is based on the reaction time of drivers under various circumstances. A headway time of two seconds is sufficient for the majority of drivers to prevent a rear-end collision with t

  1. Distributed modeling for road authorities

    NARCIS (Netherlands)

    Luiten, G.T.; Bõhms, H.M.; Nederveen, S. van; Bektas, E.

    2013-01-01

    A great challenge for road authorities is to improve the effectiveness and efficiency of their core processes by improving data exchange and sharing using new technologies such as building information modeling (BIM). BIM has already been successfully implemented in other sectors, such as architectur

  2. Death by 1,000 Cuts: Road Politics at Sumatra′s Kerinci Seblat National Park

    Directory of Open Access Journals (Sweden)

    Keith Bettinger

    2014-01-01

    Full Text Available This paper examines how decentralisation reforms have led to an increase in road proposals in the districts around Sumatra′s Kerinci Seblat National Park (KSNP. Roads through KSNP, which is still under the authority of the central government, are illegal, but the newly empowered districts argue that KSNP′s existence is an unfair obstacle to regional economic development, and that the roads would aid in improving the local economies. The article examines Sumatra′s extractive economy in a historical context, arguing that past economic patterns have helped in shaping the conflicts over access to resources in KSNP. District elites are attempting to maximise their access to, and benefits from, natural resources by using a variety of strategies to push for the construction of roads through KSNP; these strategies include the discursive construction of a new district geographic identity, the use of formal powers to encourage informal and illegal activities, and the formation of ad-hoc coalitions across scales. Using three case studies, I describe how the road proposals illustrate the different manifestations of centre/district struggles to gain control over, and access to, natural resources.

  3. Data, modelling and inference in road traffic networks.

    Science.gov (United States)

    Gibbens, Richard J; Saatci, Yunus

    2008-06-13

    In this paper, we study UK road traffic data and explore a range of modelling and inference questions that arise from them. For example, loop detectors on the M25 motorway record speed and flow measurements at regularly spaced locations as well as the entry and exit lanes of junctions. An exploratory study of these data helps us to better understand and quantify the nature of congestion on the road network. From a traveller's perspective it is crucially important to understand the overall journey times and we look at methods to improve our ability to predict journey times given access jointly to both real-time and historical loop detector data. Throughout this paper we will comment on related work derived from US freeway data.

  4. Vegetation and fuels data collected in 2010 and 2011 from historical emergency stabilization & rehabilitation seedings (1990 – 2003) on BLM lands within the Great Basin

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Data are contained in a Microsoft Access database consisting of 27 data tables. Tables provided include emergency stabilization and rehabilitation (ESR) projects...

  5. Psychological aspects of road user behaviour

    NARCIS (Netherlands)

    Rothengatter, J.A.

    1997-01-01

    The behaviour of road users is an important factor in accident causation. Traffic psychology, defined as ''the study of the behaviour of road users and the psychological processes underlying that behaviour'', attempts to identify the determinants of road user behaviour with the aim of developing eff

  6. Value of monitoring in road network management

    NARCIS (Netherlands)

    Zouch, M.; Courage, W.; Napoles-Morales, O.

    2014-01-01

    We present a framework for road network management to assist road authorities in maintenance budget estimations and long-term maintenance strategies definition. Information about road conditions is obtained from monitoring. Available data are used to estimate and update prediction of degradation evo

  7. Road geometry classification by adaptive shape models

    NARCIS (Netherlands)

    J.M. Álvarez; T. Gevers; F. Diego; A.M. López

    2012-01-01

    Vision-based road detection is important for different applications in transportation, such as autonomous driving, vehicle collision warning, and pedestrian crossing detection. Common approaches to road detection are based on low-level road appearance (e.g., color or texture) and neglect of the scen

  8. Numerical simulation of tyre/road noise

    NARCIS (Netherlands)

    Schutte, Jan Henk

    2011-01-01

    In modern society, traffic noise has become an important issue for mental health. A significant contributor to this noise pollution is exterior tyre/road noise, which is caused by the interaction between tyre and road surface and. In order to reduce tyre/road noise at the source, accurate numerical

  9. 30 CFR 816.150 - Roads: general.

    Science.gov (United States)

    2010-07-01

    ...: general. (a) Road classification system. (1) Each road, as defined in § 701.5 of this chapter, shall be... occurring on other exposed surfaces, by measures such as vegetating, watering, using chemical or other dust... nontoxic-forming substances in road surfacing. (c) Design and construction limits and establishment...

  10. 30 CFR 817.150 - Roads: General.

    Science.gov (United States)

    2010-07-01

    ...: General. (a) Road classification system. (1) Each road, as defined in § 701.5 of this chapter, shall be... other exposed surfaces, by measures such as vegetating, watering, using chemical or other dust...- and nontoxic-forming substances in road surfacing. (c) Design and construction limits...

  11. Optimal Redesign of the Dutch Road Network

    NARCIS (Netherlands)

    Snelder, M.; Wagelmans, A.P.M.; Schrijver, J.M.; Van Zuylen, H.J.; Immers, L.H.

    2007-01-01

    The Dutch national road network has been developed over several decades. In the past, roads were constructed according to the then current spatial and transportation planning philosophies. Because the existing road network is a result of a long process of successive developments, the question can be

  12. Analysis of traffic safety at road works.

    NARCIS (Netherlands)

    Weijermars, W. & Spittje, H.

    2010-01-01

    Road works create a risk, both to road workers and drivers. SWOV conducted research into 58 severe crashes to gain more insight into the causes of crashes at work zones. Finally, 50 work-zones were visited to obtain more insight into (1) the extent to which the Dutch guidelines for safe road works a

  13. Reflection properties of road surfaces. Contribution to OECD Scientific Expert Group AC4 on Road Surface Characteristics.

    NARCIS (Netherlands)

    Schreuder, D.A.

    1983-01-01

    Photometric characteristics of road surfaces are dealt with. Representation of reflection properties in public lighting; quality criteria of road lighting installations; classification of road surfaces; the relation between reflection characteristics and other properties of road pavements in public

  14. Accessible Knowledge - Knowledge on Accessibility

    DEFF Research Database (Denmark)

    Kirkeby, Inge Mette

    2015-01-01

    Although serious efforts are made internationally and nationally, it is a slow process to make our physical environment accessible. In the actual design process, architects play a major role. But what kinds of knowledge, including research-based knowledge, do practicing architects make use of when...... designing accessible environments? The answer to the question is crucially important since it affects how knowledge is distributed and how accessibility can be ensured. In order to get first-hand knowledge about the design process and the sources from which they gain knowledge, 11 qualitative interviews...... were conducted with architects with experience of designing for accessibility. The analysis draws on two theoretical distinctions. The first is research-based knowledge versus knowledge used by architects. The second is context-independent knowledge versus context-dependent knowledge. The practitioners...

  15. Road Expansion and Its Influence on Trail Sustainability in Bhutan

    Directory of Open Access Journals (Sweden)

    Taiichi Ito

    2011-12-01

    Full Text Available Bhutan was an inhabited wilderness until 1961, when road construction started after the closure of the Tibetan border. Since then, the road network has expanded from the Indian boarder, often tracing traditional trails. This has accelerated commerce as well as movement of people from India, benefitting both the Bhutanese and foreign tourists. At the same time, dependence on imported automobiles and fossil fuel has risen, and roadless areas have begun to shrink. This brought an inevitable loss of traditional environmental knowledge, such as the care of mules for packing, and reduction in physical and mental health among the Bhutanese. People who lost jobs as horsemen moved into towns to find jobs. Road extension is also a double-edged sword for visitors. It has resulted in shrinking trekking areas and loss of traditional culture, both of which have been sacrificed for easy access. Protected areas often function as fortifications against mechanical civilization. However, protected-area status or its zoning does not guarantee that an area will remain roadless where there is considerable resident population. An analysis in Jigme Dorji National Park showed the gradual retreat of trailheads and increasing dependence on automobiles among residents and trekkers. B. MacKaye, a regional planner in the Eastern United States, proposed using trails as a tool to control such mechanical civilization. His philosophy of regional planning suggests two measures; one is consolidated trailheads as dams, and the other is confinement of roads by levees, consisting of new trails and wilderness belts. According to case studies, the author proposed six options for coexistence of trails with roads.

  16. Open access

    CERN Document Server

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder consent, and many authors, musicians, filmmakers, and other creators who depend on royalties are understandably unwilling to give their consent. But for 350 years, scholars have written peer-reviewed journal articles for impact, not for money, and are free to consent to open access without losing revenue. In this concise introduction, Peter Suber tells us what open access is and isn't, how it benefits authors and readers of research, how we pay for it, how it avoids copyright problems, how it has moved from the periphery to the mainstream, and what its future may hold. Distilling a decade of Suber's influential writing and thinking about open access, this is the indispe...

  17. Road development and the geography of hunting by an Amazonian indigenous group: consequences for wildlife conservation.

    Directory of Open Access Journals (Sweden)

    Santiago Espinosa

    Full Text Available Protected areas are essential for conservation of wildlife populations. However, in the tropics there are two important factors that may interact to threaten this objective: 1 road development associated with large-scale resource extraction near or within protected areas; and 2 historical occupancy by traditional or indigenous groups that depend on wildlife for their survival. To manage wildlife populations in the tropics, it is critical to understand the effects of roads on the spatial extent of hunting and how wildlife is used. A geographical analysis can help us answer questions such as: How do roads affect spatial extent of hunting? How does market vicinity relate to local consumption and trade of bushmeat? How does vicinity to markets influence choice of game? A geographical analysis also can help evaluate the consequences of increased accessibility in landscapes that function as source-sink systems. We applied spatial analyses to evaluate the effects of increased landscape and market accessibility by road development on spatial extent of harvested areas and wildlife use by indigenous hunters. Our study was conducted in Yasuní Biosphere Reserve, Ecuador, which is impacted by road development for oil extraction, and inhabited by the Waorani indigenous group. Hunting activities were self-reported for 12-14 months and each kill was georeferenced. Presence of roads was associated with a two-fold increase of the extraction area. Rates of bushmeat extraction and trade were higher closer to markets than further away. Hunters located closer to markets concentrated their effort on large-bodied species. Our results clearly demonstrate that placing roads within protected areas can seriously reduce their capacity to sustain wildlife populations and potentially threaten livelihoods of indigenous groups who depend on these resources for their survival. Our results critically inform current policy debates regarding resource extraction and road building

  18. Road development and the geography of hunting by an Amazonian indigenous group: consequences for wildlife conservation.

    Science.gov (United States)

    Espinosa, Santiago; Branch, Lyn C; Cueva, Rubén

    2014-01-01

    Protected areas are essential for conservation of wildlife populations. However, in the tropics there are two important factors that may interact to threaten this objective: 1) road development associated with large-scale resource extraction near or within protected areas; and 2) historical occupancy by traditional or indigenous groups that depend on wildlife for their survival. To manage wildlife populations in the tropics, it is critical to understand the effects of roads on the spatial extent of hunting and how wildlife is used. A geographical analysis can help us answer questions such as: How do roads affect spatial extent of hunting? How does market vicinity relate to local consumption and trade of bushmeat? How does vicinity to markets influence choice of game? A geographical analysis also can help evaluate the consequences of increased accessibility in landscapes that function as source-sink systems. We applied spatial analyses to evaluate the effects of increased landscape and market accessibility by road development on spatial extent of harvested areas and wildlife use by indigenous hunters. Our study was conducted in Yasuní Biosphere Reserve, Ecuador, which is impacted by road development for oil extraction, and inhabited by the Waorani indigenous group. Hunting activities were self-reported for 12-14 months and each kill was georeferenced. Presence of roads was associated with a two-fold increase of the extraction area. Rates of bushmeat extraction and trade were higher closer to markets than further away. Hunters located closer to markets concentrated their effort on large-bodied species. Our results clearly demonstrate that placing roads within protected areas can seriously reduce their capacity to sustain wildlife populations and potentially threaten livelihoods of indigenous groups who depend on these resources for their survival. Our results critically inform current policy debates regarding resource extraction and road building near or within

  19. Road Development and the Geography of Hunting by an Amazonian Indigenous Group: Consequences for Wildlife Conservation

    Science.gov (United States)

    Espinosa, Santiago; Branch, Lyn C.; Cueva, Rubén

    2014-01-01

    Protected areas are essential for conservation of wildlife populations. However, in the tropics there are two important factors that may interact to threaten this objective: 1) road development associated with large-scale resource extraction near or within protected areas; and 2) historical occupancy by traditional or indigenous groups that depend on wildlife for their survival. To manage wildlife populations in the tropics, it is critical to understand the effects of roads on the spatial extent of hunting and how wildlife is used. A geographical analysis can help us answer questions such as: How do roads affect spatial extent of hunting? How does market vicinity relate to local consumption and trade of bushmeat? How does vicinity to markets influence choice of game? A geographical analysis also can help evaluate the consequences of increased accessibility in landscapes that function as source-sink systems. We applied spatial analyses to evaluate the effects of increased landscape and market accessibility by road development on spatial extent of harvested areas and wildlife use by indigenous hunters. Our study was conducted in Yasuní Biosphere Reserve, Ecuador, which is impacted by road development for oil extraction, and inhabited by the Waorani indigenous group. Hunting activities were self-reported for 12–14 months and each kill was georeferenced. Presence of roads was associated with a two-fold increase of the extraction area. Rates of bushmeat extraction and trade were higher closer to markets than further away. Hunters located closer to markets concentrated their effort on large-bodied species. Our results clearly demonstrate that placing roads within protected areas can seriously reduce their capacity to sustain wildlife populations and potentially threaten livelihoods of indigenous groups who depend on these resources for their survival. Our results critically inform current policy debates regarding resource extraction and road building near or within

  20. Skilled nursing and rehabilitation facilities - choosing

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000436.htm Skilled nursing and rehabilitation facilities - choosing To use the sharing ... you may need to go to a skilled nursing or rehabilitation facility . Skilled nursing facilities provide care ...

  1. What To Expect During Pulmonary Rehabilitation

    Science.gov (United States)

    ... NHLBI on Twitter. What To Expect During Pulmonary Rehabilitation Pulmonary rehabilitation (PR) can have many parts, and not all ... back over and over with his or her hands cupped. This loosens the mucus from your lungs ...

  2. Stroke Rehabilitation: What Research is Being Done?

    Science.gov (United States)

    ... of this page please turn Javascript on. Feature: Stroke Rehabilitation What Research is Being Done? Past Issues / ... Table of Contents To Find Out More MedlinePlus: Stroke Rehabilitation medlineplus.gov/strokerehabilitation.html National Institute of ...

  3. A Tough-Love Pedagogy in Rehabilitation: Integration of Rehabilitation Ideology with Local Cultures

    Science.gov (United States)

    Chang, Ling-Hui; Wang, Jye

    2009-01-01

    This study problematizes a unique therapeutic relationship in rehabilitation and how the interaction reflects the integration of rehabilitation ideology with local cultures. The data drew from a larger ethnographic study of a rehabilitation unit in Taiwan. Participants included 21 patient-caregiver pairs and their rehabilitation professionals.…

  4. Stroke rehabilitation and discharge planning.

    Science.gov (United States)

    Kerr, Peter

    Nurses play a pivotal role in the rehabilitation and discharge planning process of patients who have had a stroke. The nurse's role in the wider stroke multidisciplinary team is complex and diverse and, as such, stroke nurses may find it hard to describe their role and how it fits into the rehabilitation and discharge planning process. A definition of the stroke nurse role in prominent publications such as those of the Scottish Intercollegiate Guidelines Network and the Royal College of Physicians is lacking. This article emphasises the role of the stroke nurse in the rehabilitation and discharge planning process in the stroke unit, while highlighting the complexity, diversity and importance of this role in providing holistic care and support for patients who have survived a stroke. The author draws on his clinical experience of stroke nursing practice in primary, secondary and tertiary care in west central Scotland.

  5. Road Safety Barriers, the Need and Influence on Road Traffic Accidents

    Science.gov (United States)

    Butāns, Ž.; Gross, K. A.; Gridnevs, A.; Karzubova, E.

    2015-11-01

    Constantly increasing intensity of road traffic and the allowed speed limits seem to impose stronger requirements on road infrastructure and use of road safety systems. One of the ways to improve road safety is the use of road restraint systems. Road safety barriers allow not only reducing the number of road traffic accidents, but also lowering the severity of accidents. The paper provides information on the technical requirements of road safety barriers. Various types of road safety barriers and their selection criteria for different types of road sections are discussed. The article views an example of a road traffic accident, which is also modelled by PC-Crash computer program. The given example reflects a road accident mechanism in case of a car-to-barrier collision, and provides information about the typical damage to the car and the barrier. The paper describes an impact of the road safety barrier type and its presence on the road traffic accident mechanism. Implementation and maintenance costs of different barrier types are viewed. The article presents a discussion on the necessity to use road safety barriers, as well as their optimal choice.

  6. Rehabilitation at work.

    Science.gov (United States)

    Rouco, Emilio; Myers, Deborah

    2011-01-01

    As increased opportunities for consumers to directly access health care providers continue, clinicians and their professional associations are progressively utilizing marketing and communications to showcase their capabilities and relevance. In 2007, the American Physical Therapy Association-which represents more than 77,000 member physical therapists, physical therapy assistants and students-embarked on a multi-year initiative to elevate the profession. APTA partnered with public relations and marketingfirm CRT/tanaka to conduct a comprehensive study to determine how patients and prospective patients view physical therapists, and to develop and implement a new branding strategy.

  7. THE ECONOMIC EVALUATION OF FOREST ROAD BUILDING

    OpenAIRE

    Muška, Aina; Bičevskis, Matīss

    2010-01-01

    Forest road density in Latvia is insufficient, although the Joint Stock Company ‘‘Latvijas valsts meži” (“Latvian State Forestry”) performs active forest road building. The hypothesis of the research is that the resources invested in a forest road building pay off during its use. The goal of the research is to study the economic benefit from forest road building. The authors’ research showed that the total costs of forest road building and use could result in Ls 246,779 over 40 years or Ls 6,...

  8. Spatial Analysis Methods of Road Traffic Collisions

    DEFF Research Database (Denmark)

    Loo, Becky P. Y.; Anderson, Tessa Kate

    Spatial Analysis Methods of Road Traffic Collisions centers on the geographical nature of road crashes, and uses spatial methods to provide a greater understanding of the patterns and processes that cause them. Written by internationally known experts in the field of transport geography, the book...... outlines the key issues in identifying hazardous road locations (HRLs), considers current approaches used for reducing and preventing road traffic collisions, and outlines a strategy for improved road safety. The book covers spatial accuracy, validation, and other statistical issues, as well as link......-attribute and event-based approaches, cluster identification, and risk exposure....

  9. Using CART to segment road images

    Science.gov (United States)

    Davies, Bob; Lienhart, Rainer

    2006-01-01

    The 2005 DARPA Grand Challenge is a 132 mile race through the desert with autonomous robotic vehicles. Lasers mounted on the car roof provide a map of the road up to 20 meters ahead of the car but the car needs to see further in order to go fast enough to win the race. Computer vision can extend that map of the road ahead but desert road is notoriously similar to the surrounding desert. The CART algorithm (Classification and Regression Trees) provided a machine learning boost to find road while at the same time measuring when that road could not be distinguished from surrounding desert.

  10. Interdisciplinary rehabilitation after whiplash injury

    Science.gov (United States)

    Haiduk, Philipp; Benz, Thomas; Lehmann, Susanne; Gysi-Klaus, Francoise; Aeschlimann, André; Michel, Beat A.; Angst, Felix

    2017-01-01

    Abstract Whiplash injury associated disorders (WAD) cause high costs for public health care. Neck pain is number 16 on the global prevalence lists for the 50 most common sequelae. It is of importance to obtain long-term data on disability and working capacity outcomes after rehabilitation. Long-term prospective data of the outcome course of whiplash are sparse. The aim of this study was to quantify improvements of pain, function/role performance, vitality, and working capacity 5 years after whiplash injury and to compare the state of health to normative values at 5 years after rehabilitation. In this naturalistic, observational, prospective cohort study, 115 patients were assessed 5 years (60 months) after a multidisciplinary rehabilitation program. The assessment set consisted of the Short Form 36 (SF-36), parts of the North American Spine Society's cervical spine assessment questionnaire (NASS) and the coping strategies questionnaire (CSQ). The effects were quantified by effect size (ES) and standardized response mean (SRM). Score differences over the course were tested by the Wilcoxon–Mann–Whitney U test for significance. Comparing data between entry and 60 months after rehabilitation 8 of 15 parameters improved with large ES/SRM. Outcome between 6 and 60 months showed small to moderate ES/SRM. Working capacity increased from 0 at entry to rehabilitation to 21 h/wk at 6 months and to 30 h/wk at 60 months follow-up. After large improvements in health and working capacity in the mid-term, further important improvements were observed in the long-term course. It can be hypothesized that part of those can be attributed to the interventions during inpatient rehabilitation, for example, due to better coping strategies. PMID:28248865

  11. Access French

    CERN Document Server

    Grosz, Bernard

    2014-01-01

    Access is the major new language series designed with the needs of today's generation of students firmly in mind. Whether learning for leisure or business purposes or working towards a curriculum qualification, Access French is specially designed for adults of all ages and gives students a thorough grounding in all the skills required to understand, speak, read and write contemporary French from scratch. The coursebook consists of 10 units covering different topic areas, each of which includes Language Focus panels explaining the structures covered and a comprehensive glossary. Learning tips

  12. Need for rehabilitation teamwork training in Europe.

    Science.gov (United States)

    Eldar, Reuben; Marincek, Crt; Kullmann, Lajos

    2008-06-01

    Teamwork is the cornerstone of rehabilitation medicine. Rehabilitation workers in European countries are well educated in their own disciplines and attain appropriate professional knowledge; however, they lack educational opportunities for acquiring skills and attitudes necessary for effective teamwork, mainly communication, cooperation, and leadership. Consequently, teamwork is compromised and rehabilitation effectiveness reduced. Therefore, training in these components of professional competence needs scaling up in order to increase their impact on rehabilitation care.

  13. Geo-Hazards and Mountain Road Development in Nepal: Understanding the Science-Policy-Governance Interface

    Science.gov (United States)

    Dugar, Sumit; Dahal, Vaskar

    2015-04-01

    informed other road development schemes in Nepal. Geomorphological surveys and robust geo-hazard assessments that factor the spatial and temporal dimensions of the seismic, fluvial and sediment hazards along the road corridor are critical for sustainable development of mountain roads. However, scientific and technical research studies seldom inform mountain road development primarily due to lack of co-ordination between the respective government agencies, access to journal papers in developing countries and unwillingness to adopt novel interventions in rural road construction practices. These challenges are further exacerbated by weak governance and lack of proper policy enforcement that often leads to construction of poorly engineered roads, thereby increasing the risk of rural infrastructural damage from geo-hazards. Though there exists a disconnect between the science-policy-governance interface where information on geo-hazards is neglected in mountain road development due to lack of scientific research and government apathy, there is an opportunity to spur dialogue and sensitize these issues via trans-disciplinary approaches on disaster risk management.

  14. Hemodialysis access - self care

    Science.gov (United States)

    Kidney failure - chronic-hemodialysis access; Renal failure - chronic-hemodialysis access; Chronic renal insufficiency - hemodialysis access; Chronic kidney failure - hemodialysis access; Chronic renal failure - ...

  15. THE REHABILITATION MANAGEMENT OF LYMPHEDEMA

    Directory of Open Access Journals (Sweden)

    OJOGA Florina

    2015-05-01

    Full Text Available Lymphedema is an important pathology for rehabilitation medecine, especially for the patients who underwent a mastectomy for breast cancer. His frequency is higher when mastectomy is combined with lymph node disection and irradiation of the lymph nodes. Symptoms include heaviness, numbness, pain, stiffness and weakness in the affected limb. Complications of lymphedema include infections such as cellulitis, erysipelas and lymphangitis. Treatment must be instituted as soon as possible and preventive measures are essential. The rehabilitation treatment consists of skin care measures, manual lymphatic massage, elastic compression of the affected limb and kinetotherapy.

  16. 38 CFR 21.283 - Rehabilitated.

    Science.gov (United States)

    2010-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31... veterans's aptitudes, interests, and abilities; and (iii) Utilizes some of the academic, technical or professional knowledge and skills obtained under the rehabilitation plan; or (3) Pursues additional...

  17. 40 CFR 35.927-3 - Rehabilitation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Rehabilitation. 35.927-3 Section 35.927... Rehabilitation. (a) Subject to State concurrence, the Regional Administrator may authorize the grantee to perform minor rehabilitation concurrently with the sewer system evaluation survey in any step under a grant...

  18. 29 CFR 1614.203 - Rehabilitation Act.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Rehabilitation Act. 1614.203 Section 1614.203 Labor... EMPLOYMENT OPPORTUNITY Provisions Applicable to Particular Complaints § 1614.203 Rehabilitation Act. (a... Rehabilitation Act of 1973, as amended (29 U.S.C. 791), has been violated in a complaint alleging...

  19. 24 CFR 886.332 - Rehabilitation period.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  20. 12 CFR 268.203 - Rehabilitation Act.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Rehabilitation Act. 268.203 Section 268.203... Rehabilitation Act. (a) Model employer. The Board shall be a model employer of individuals with disabilities. The... Rehabilitation Act of 1973, as amended (29 U.S.C. 791), has been violated in a complaint alleging...

  1. 44 CFR 208.43 - Rehabilitation.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Rehabilitation. 208.43... Agreements § 208.43 Rehabilitation. DHS will reimburse costs incurred to return System equipment and... Activation. (3) Personnel costs associated with equipment cache rehabilitation. DHS will reimburse...

  2. 36 CFR 910.63 - Rehabilitation.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Rehabilitation. 910.63 Section 910.63 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL... DEVELOPMENT AREA Glossary of Terms § 910.63 Rehabilitation. Rehabilitation means the process of...

  3. Putting a Vocational Focus Back into Rehabilitation

    Science.gov (United States)

    Murphy, Gregory C.

    2009-01-01

    Traditionally, rehabilitation has been closely associated with vocational potential and return to work post-injury, or the maintenance of work attendance following the onset of chronic disease. Indeed, so close was the association that the terms "rehabilitation" and "vocational rehabilitation" were virtually synonymous. Over…

  4. Introduction to Positive Psychology in Rehabilitation

    Science.gov (United States)

    Chou, Chih-Chin; Chan, Fong; Phillips, Brian; Chan, Jacob Yui Chung

    2013-01-01

    Positive psychology has received increasing attention in rehabilitation counseling research and practice. The rehabilitation counseling philosophy shares a similar emphasis of personal assets and strengths, which provides a solid foundation for the integration of positive psychology into the professional practice of rehabilitation counseling. In…

  5. Manual for Training Leprosy Rehabilitation Workers.

    Science.gov (United States)

    Itoh, Masayoshi; Eason, Alice L.

    The purpose of this manual is to introduce the general concepts and techniques in leprosy rehabilitation to physical therapy aides. Because of the lack of well-trained, qualified, physical therapists, the committee on leprosy rehabilitation considers it necessary to publish a teaching manual outlining leprosy rehabilitation for those who work with…

  6. Incorporating Feminism into Rehabilitation Counselor Education

    Science.gov (United States)

    Jeon, Mookyong

    2015-01-01

    Purpose: The author describes how rehabilitation counselor educators can incorporate the feminist perspective in teaching rehabilitation counselors-in-training by exploring history, core values, and training methods of feminism. Method: Based on a literature review, the author compares philosophy and concepts of rehabilitation counseling and…

  7. Need for Rehabilitation Teamwork Training in Europe

    OpenAIRE

    ELDAR, Reuben; Marincek, Crt; Kullmann, Lajos

    2008-01-01

    Teamwork is the cornerstone of rehabilitation medicine. Rehabilitation workers in European countries are well educated in their own disciplines and attain appropriate professional knowledge; however, they lack educational opportunities for acquiring skills and attitudes necessary for effective teamwork, mainly communication, cooperation, and leadership. Consequently, teamwork is compromised and rehabilitation effectiveness reduced. Therefore, training in these components of ...

  8. Road user behaviour changes following a self-explaining roads intervention.

    Science.gov (United States)

    Mackie, Hamish W; Charlton, Samuel G; Baas, Peter H; Villasenor, Pablo C

    2013-01-01

    The self-explaining roads (SER) approach uses road designs that evoke correct expectations and driving behaviours from road users to create a safe and user-friendly road network. Following the implementation of an SER process and retrofitting of local and collector roads in a suburb within Auckland City, lower speeds on local roads and less variation in speed on both local and collector roads were achieved, along with a closer match between actual and perceived safe speeds. Preliminary analyses of crash data shows that the project has resulted in a 30% reduction crash numbers and an 86% reduction in crash costs per annum, since the road changes were completed. In order to further understand the outcomes from this project, a study was carried out to measure the effects of the SER intervention on the activity and behaviour of all road users. Video was collected over nine separate days, at nine different locations, both before and after SER construction. Road user behaviour categories were developed for all potential road users at different location types and then used to code the video data. Following SER construction, on local roads there was a relatively higher proportion of pedestrians, less uniformity in vehicle lane keeping and less indicating by motorists along with less through traffic, reflecting a more informal/low speed local road environment. Pedestrians were less constrained on local roads following SER construction, possibly reflecting a perceptually safer and more user-friendly environment. These behaviours were not generally evident on collector roads, a trend also shown by the previous study of speed changes. Given that one of the objectives of SER is to match road user behaviour with functionally different road categories, the road user behaviour differences demonstrated on different road types within the SER trial area provides further reinforcement of a successful SER trial.

  9. White noise excitation of road vehicle structures

    Indian Academy of Sciences (India)

    Werner Schiehlen

    2006-08-01

    Heave and pitch motions of road vehicle structures affect the comfort and the safety of passengers. Excitation of these vertical vibrations is due to road surface roughness. Road vehicle structures are modelled as mechanical systems characterized by their inertia, damping and stiffness, and represented as state equations. This paper deals with the influence of random road profiles on the vertical dynamics of road vehicles characterized by stochastic processes. Switching from road profile displacement to road profile velocity results in white noise excitation facilitating mathematical analysis. Some fundamentals of power spectral density analysis and covariance analysis are reviewed. A quarter car model is used to show the advantages of the covariance analysis resulting immediately in standard variations characterizing the vehicle’s performance.

  10. Understanding Road Usage Patterns in Urban Areas

    CERN Document Server

    Wang, Pu; Bayen, Alexandre M; Schechtner, Katja; González, Marta C; 10.1038/srep01001

    2012-01-01

    In this paper, we combine the most complete record of daily mobility, based on large-scale mobile phone data, with detailed Geographic Information System (GIS) data, uncovering previously hidden patterns in urban road usage. We find that the major usage of each road segment can be traced to its own - surprisingly few - driver sources. Based on this finding we propose a network of road usage by defining a bipartite network framework, demonstrating that in contrast to traditional approaches, which define road importance solely by topological measures, the role of a road segment depends on both: its betweeness and its degree in the road usage network. Moreover, our ability to pinpoint the few driver sources contributing to the major traffic flow allows us to create a strategy that achieves a significant reduction of the travel time across the entire road system, compared to a benchmark approach.

  11. Measuring Road Network Vulnerability with Sensitivity Analysis

    Science.gov (United States)

    Jun-qiang, Leng; Long-hai, Yang; Liu, Wei-yi; Zhao, Lin

    2017-01-01

    This paper focuses on the development of a method for road network vulnerability analysis, from the perspective of capacity degradation, which seeks to identify the critical infrastructures in the road network and the operational performance of the whole traffic system. This research involves defining the traffic utility index and modeling vulnerability of road segment, route, OD (Origin Destination) pair and road network. Meanwhile, sensitivity analysis method is utilized to calculate the change of traffic utility index due to capacity degradation. This method, compared to traditional traffic assignment, can improve calculation efficiency and make the application of vulnerability analysis to large actual road network possible. Finally, all the above models and calculation method is applied to actual road network evaluation to verify its efficiency and utility. This approach can be used as a decision-supporting tool for evaluating the performance of road network and identifying critical infrastructures in transportation planning and management, especially in the resource allocation for mitigation and recovery. PMID:28125706

  12. Forestry and Road Development: Direct and Indirect Impacts from an Aboriginal Perspective.

    Directory of Open Access Journals (Sweden)

    Tom M. Beckley

    2012-12-01

    Full Text Available The forest industry is a significant contributor to the development of roads and most are constructed on Aboriginal territories. Many Aboriginal communities are isolated both socially and economically and Aboriginal cultures are often described as having inherent socio-environmental relationships. Aboriginal communities, therefore, may be the most likely to benefit and be most vulnerable to the impacts of road development. We use a case study approach to explore how an Aboriginal community interprets and responds to the increasing development of roads in its territory. The results are interpreted using the theory of access in order to frame the interactions between people and nature within a cohesive system which includes elements which are spatially located, flow, interact, and can be disturbed. The dominant themes discussed as being affected by the influence of roads on access included issues of the following nature: Aboriginal, hunting, foreign, territorial and environmental. Issues pertaining to Aboriginal actors as opposed to foreign actors such as the industry or non-aboriginal hunters and fishers dominated discussions. Although the positive effects provided by roads were alluded to, focus tended towards the affected relationships and ties between the territory, the environment and Aboriginal members. Roads are associated with changes in traditional roles and practices which benefit individualistic behaviors. The access mechanisms mediating and controlling the use of resources through traditional norms and roles such as sharing, asking permission, and helping in the practice of traditional activities no longer apply effectively. Changes in the traditional spatial organization of the territory have minimized the influence of knowledge, identity, and negotiation in mediating access among communities. Results highlight that conflicts have thus resulted between and among Aboriginal communities. Also, perception of the role of the environment

  13. Traffic Impact Analysis of the Access to Projects on Traffic Performance of Nearby Roadways

    Institute of Scientific and Technical Information of China (English)

    SONG Fei; CAO Jing; YANG Xiao-kuan

    2010-01-01

    Access to any development is a connection between the buildings and urban roadways. The impact of access on urban roads varies with location of the access. This paper studies the impact of access to large buildings on the surrounding road network by exploring traffic conflicts based on the configuration of the access. The concept of conflict intensity is introduced in this study as a new evaluation indicator to evaluate the traffic conflict triggered by the presence of access. The results show that the greater the speed, the greater the conflict intensity of access. Meanwhile, a similar situation exists when other variables (e.g., conflict angle or the number of conflicts) change. The larger the conflict intensity, the more dangerous the access. Results from this study can help developers and traffic engineers choose suitable locations of access and organize the traffic in a logical manner.

  14. Advanced Vehicle Testing Activity Cold Weather On-road Testing of the Chevrolet Volt

    Energy Technology Data Exchange (ETDEWEB)

    Smart, John [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-03-01

    This report details cold weather on-road testing of a Chevrolet Volt. It quantifies changes in efficiency and electric range as ambient temperature changes. It will be published to INL's AVTA website as an INL technical report and will be accessible to the general public.

  15. Cardiac Rehabilitation. A Handbook for Vocational Rehabilitation Counselors.

    Science.gov (United States)

    Brammell, H. L.; And Others

    Basic information about heart disease and functional capacity assessment and its application to activity/job counseling are presented in this handbook for vocational rehabilitation counselors. Sections include the following: impact of heart disease; basic anatomy and physiology (e.g., the heart, pulmonary circulation, causes of cardiac pain, and…

  16. Pain rehabilitation – outcome of an 8-week rehabilitation program

    Directory of Open Access Journals (Sweden)

    Norrefalk J.R.

    2012-10-01

    Full Text Available The prevalence of persistent pain has been estimated to be around 20-50% in a normal population. Musculoskeletal related pain is the most common form of persistent pain. In patients with persistent pain there are alterations in the peripheral as well as the central nervous system and patients develop a dysfunctional behaviour which, in many cases, leads to severe suffering for the patient. In the European countries an increasing problem has emerged consisting of more people on long-term sick-leave, increased number of early retirements and high social costs. After an 8-week structured multiprofessional rehabilitation programme at the Karolinska Institute in Stockholm, Sweden 63% of patients with long-standing non-malignant pain returned to work and half of the patients were still at work at a 6-year follow-up. Half of the patients reported pain reduction and almost half of the patients had reduced their consumption of analgesics. The rehabilitation program was estimated as economically beneficial on a society level. It is concluded that pain rehabilitation should have a multiprofessional approach. Pain rehabilitation programs are beneficial for the possibility for the patient to return to work pain and leads to pain reduction in the long run. Furthermore, they are beneficial from a socio-economical aspect.

  17. Rehabilitation nutrition for sarcopenia with disability: a combination of both rehabilitation and nutrition care management

    OpenAIRE

    Wakabayashi, Hidetaka; Sakuma, Kunihiro

    2014-01-01

    Malnutrition and sarcopenia often occur in rehabilitation settings. The prevalence of malnutrition and sarcopenia in older patients undergoing rehabilitation is 49–67 % and 40–46.5 %, respectively. Malnutrition and sarcopenia are associated with poorer rehabilitation outcome and physical function. Therefore, a combination of both rehabilitation and nutrition care management may improve outcome in disabled elderly with malnutrition and sarcopenia. The concept of rehabilitation nutrition as a c...

  18. 75 FR 26952 - National Institute on Disability and Rehabilitation Research (NIDRR)-Disability and...

    Science.gov (United States)

    2010-05-13

    ....gov/servlet/STTable?_bm=y&-qr_name=ACS_2006_EST_G00_S1802 . U.S. Department of Labor. (2009). Labor... the Federal Register and the Code of Federal Regulations is available on GPO Access at: http://www... and Rehabilitative Services. BILLING CODE 4000-01-P...

  19. 78 FR 3864 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Disability and...

    Science.gov (United States)

    2013-01-17

    ... entertainment); and (d) enhancing aural rehabilitation and consumer involvement strategies (e.g., online access to peer and expert input on hearing technologies and communication strategies; consumer focus groups.... (2010a). MarkeTrak VIII: Consumer satisfaction with hearing aids is slowly increasing. Hearing...

  20. Development, Implementation, and Evaluation of the Apollo Model of Pediatric Rehabilitation Service Delivery

    Science.gov (United States)

    Camden, Chantal; Swaine, Bonnie; Tetreault, Sylvie; Bergeron, Sophie; Lambert, Carole

    2013-01-01

    This article presents the experience of a rehabilitation program that undertook the challenge to reorganize its services to address accessibility issues and improve service quality. The context in which the reorganization process occurred, along with the relevant literature justifying the need for a new service delivery model, and an historical…

  1. 78 FR 34996 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

    Science.gov (United States)

    2013-06-11

    ... enhance their capacity to conduct high-quality multidisciplinary rehabilitation and disability research to... person or team listed under Accessible Format in section VIII of this notice. 2. Content and Form of... Review: This program is not subject to Executive Order 12372 and the regulations in 34 CFR part 79....

  2. Building the Case for Delivering Health Promotion Services within the Vocational Rehabilitation System

    Science.gov (United States)

    Ipsen, Catherine; Seekins, Tom; Ravesloot, Craig

    2010-01-01

    Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

  3. Virtual Reality Technologies and the Creative Arts in the Areas of Disability, Therapy, Health, and Rehabilitation

    DEFF Research Database (Denmark)

    Cobb, S. V. G.; Brooks, Anthony Lewis; Sharkey, P. M.

    2013-01-01

    A key theme in the ArtAbilitation conferences is the relationship between 6 sound, movement, and art, and how these can be used for rehabilitation and/or 7 expression by individuals who may have limited access to conventional communi- 8 cation. The development of VR environments and interactive...

  4. 78 FR 35890 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

    Science.gov (United States)

    2013-06-14

    ... and equipment in the private sector, and providing training opportunities. RERCs seek to solve rehabilitation problems and remove environmental barriers to improvements in employment, community living and..., or compact disc) by contacting the person or team listed under Accessible Format in section VIII...

  5. 78 FR 70088 - Agency Proposed Business Process Vision Under the Rehabilitation Act of 1973

    Science.gov (United States)

    2013-11-22

    ... ADMINISTRATION Agency Proposed Business Process Vision Under the Rehabilitation Act of 1973 AGENCY: Social Security Administration (SSA). ACTION: Notice of availability of proposed business process vision following....gov/accessibility/section504 . Our business process vision outlines the actions we are...

  6. Buruli ulcer: wound care and rehabilitation

    Directory of Open Access Journals (Sweden)

    Frimpong M

    2016-06-01

    Full Text Available Michael Frimpong,1 Fred Stephen Sarfo,2 Mabel Sarpong Duah,1 Mark Wansbrough-Jones,3 Richard O Phillips2 1Kumasi Centre for Collaborative Research in Tropical Medicine, 2Department of Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; 3Institute for Infection and Immunity, St George’s University of London, London, UK Abstract: Buruli ulcer caused by Mycobacterium ulcerans is a neglected tropical disease characterized by extensive ulceration involving predominantly the upper and lower limbs of patients. The disease is common in rural tropical communities in West and Central Africa, where access to proper health care is limited. Pathogenesis of the characteristic painless ulcers is linked to the elaboration by M. ulcerans of a lipid toxin called mycolactone that has potent cytopathic, immunosuppressive, and analgesic effects on a host of cells in cutaneous tissues. Mycolactone is known to profoundly inhibit secretion of a plethora of proteins that are essential for wound healing. Even though a combination antibacterial therapy of streptomycin and rifampicin for 8 weeks is effective for treatment, it relies on good and appropriate wound management to prevent secondary bacterial infections and improve healing. Evidence-based interventions for wound care in Buruli ulcer disease are often lacking and have relied on expert advice and recommendations. Surgical interventions are limited to debridement of necrotic tissue and grafting of extensive ulcers, usually after antibiotic therapy. Patients’ rehabilitation is an important component of care to reduce disabilities associated with the disease and proper integration into the community after treatment. Keywords: Buruli ulcer, Mycobacterium ulcerans disease, Mycobacterium ulcerans, wound care, rehabilitation, disability

  7. Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation

    DEFF Research Database (Denmark)

    Carré, François; Heuschmann, Peter; hoffmann, Thomas

    2010-01-01

    of a healthy lifestyle. These secondary prevention targets are included in the overall goal of cardiac rehabilitation (CR). Cardiac rehabilitation can be viewed as the clinical application of preventive care by means of a professional multi-disciplinary integrated approach for comprehensive risk reduction......Cardiac patients after an acute event and/or with chronic heart disease deserve special attention to restore their quality of life and to maintain or improve functional capacity. They require counselling to avoid recurrence through a combination of adherence to a medication plan and adoption...... and global long-term care of cardiac patients. The CR approach is delivered in tandem with a flexible follow-up strategy and easy access to a specialized team. To promote implementation of cardiac prevention and rehabilitation, the CR Section of the EACPR (European Association of Cardiovascular Prevention...

  8. Effect of Road Lighting on the Quality of Dual Carriageway Road Service

    Directory of Open Access Journals (Sweden)

    Ben-Edigbe Johnnie

    2014-02-01

    Full Text Available The study is exciting because it introduced a new quality of road service assessment approach. The study explored the effect of road lighting on the quality of dual carriageway road service. Based on the hypothesis that road lighting has no significant effect on the level of road service, an impact study was carried out in Skudai town, Malaysia. Twenty four hours continuous traffic volume, vehicle types and speeds data were collected during daylight, road lighting and dry weather conditions for two directional flows. Results show that travel speeds speed during daylight and road lighting periods did not differ significantly. The study concluded road lighting does not affect the quality of road service significantly.

  9. High-Luminance Road Surfaces,

    Science.gov (United States)

    1980-12-01

    condition was changed with the decreased use of snow chains and increasing use of studded tires. The studded tires wear down the road surface in a...region, white anorthosite of a uniform and unweathered type is usable as an additive to asphalt con- crete and wear surfacing for asphalt gravel...CLASSIFICATION Of THIS PAGE(W/em Daateoo 20. Abstract (cont’d) resistance to weathering, and the degree of luminosity. Quartzites have the best wear

  10. Revival of the Silk Road

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    China's Xinjiang Uygur Autonomous Region, bordering eight countries and providing a corridor to the Central Asian region, was once famous for the Silk Road. But now this region is often reported by Western media as having the problems of "political separatism, economic exclusion and religious fundamentalism." Professor David Gosset with the Shanghai-based China Europe International Business School analyzed Xinjiang's development, which he framed as "Xinjiang's experience." According to him, Xinjiang has ...

  11. Road safety: take it seriously

    CERN Multimedia

    Antonella Del Rosso

    2015-01-01

    Around 50 road accidents happen every year at CERN. Cyclists, drivers and pedestrians must pay attention to their behaviour at all times to ensure that this doesn’t become an even more serious problem. Even if the Laboratory’s sites are not exactly downtown Shanghai, all road users need to make a little effort. So let’s do it!   Life at CERN: let’s stick to accumulating scientific data rather than road accidents! (Cartoon by Cian O'Luanaigh) Despite a dedicated Safety Code in force since 1990, “traffic-calming” measures put in place last year, several reminders in the Bulletin and frequent safety campaigns, the number of accidents, particularly those involving cyclists, has remained high since 2008. Luckily, no-one has been seriously injured but it is more and more frequent to experience near misses or actual accidents, whether in a car or on a bike. Incivilities, excessive speeding (also for bikes!) and answering ...

  12. Rehabilitation challenges in multiple sclerosis.

    Science.gov (United States)

    Burks, Jack S; Bigley, George Kim; Hill, Harry Haydon

    2009-10-01

    While current immunomodulating drugs aim to reduce multiple sclerosis (MS) exacerbations and slow disease progression, rehabilitation aims to improve and maintain the functional abilities of patients in the face of disease progression. An increasing number of journal articles are describing the value of the many rehabilitation interventions that can be used throughout the course of the disease, from the initial symptoms to the advanced stages. An integrated team of healthcare professionals is necessary to address a myriad of problems to reduce impairments, disabilities, and handicaps. The problems may be related to fatigue, weakness, spasticity, mobility, balance, pain, cognition, mood, relationships, bowel, bladder, sexual function, swallowing, speech, transportation, employment, recreation, and activities of daily living (ADL) such as dressing, eating, bathing, and household chores. The team can help prevent complications and secondary disabilities, while increasing patient safety. Improving neurologically related function, maintaining good relationships, and feeling productive and creative adds enormously to the quality of life of people with MS and their families. Rehabilitation is more than an 'extra' service that is given after medical therapies; it is an integral part of the management of the diverse set of problems encountered throughout the course of the disease. An interdisciplinary team may have many members, including physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, psychotherapists, social workers, recreational therapists, vocational rehabilitation therapists, patients, families, and other caregivers.

  13. Rehabilitation challenges in multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Burks Jack

    2009-01-01

    Full Text Available While current immunomodulating drugs aim to reduce multiple sclerosis (MS exacerbations and slow disease progression, rehabilitation aims to improve and maintain the functional abilities of patients in the face of disease progression. An increasing number of journal articles are describing the value of the many rehabilitation interventions that can be used throughout the course of the disease, from the initial symptoms to the advanced stages. An integrated team of healthcare professionals is necessary to address a myriad of problems to reduce impairments, disabilities, and handicaps. The problems may be related to fatigue, weakness, spasticity, mobility, balance, pain, cognition, mood, relationships, bowel, bladder, sexual function, swallowing, speech, transportation, employment, recreation, and activities of daily living (ADL such as dressing, eating, bathing, and household chores. The team can help prevent complications and secondary disabilities, while increasing patient safety. Improving neurologically related function, maintaining good relationships, and feeling productive and creative adds enormously to the quality of life of people with MS and their families. Rehabilitation is more than an ′extra′ service that is given after medical therapies; it is an integral part of the management of the diverse set of problems encountered throughout the course of the disease. An interdisciplinary team may have many members, including physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, psychotherapists, social workers, recreational therapists, vocational rehabilitation therapists, patients, families, and other caregivers.

  14. Low vision rehabilitation: current perspectives

    Directory of Open Access Journals (Sweden)

    Vingolo EM

    2015-08-01

    Full Text Available Enzo Maria Vingolo, Vittoria De Rosa, Daniela Domanico, Federico Anselmucci  Department of Ophthalmology, University La Sapienza of Rome, Terracina, Italy Abstract: Quality of life in low vision patients is deeply conditioned by their visual ability, and increased rates of depression, domestic injury, and need for caregiver assistance can be expected as a result of low performance. Much effort have been made recently in order to develop new tools and aids for rehabilitation of low vision, and this research has led to better knowledge of visual function and increased the likelihood of new therapies in the future. Modern low vision rehabilitation is the result of recent advances in science and technology, and will soon have an important role in people with vision impairment, numbers of whom are likely to increase, give the increasing age of the population. This review outlines scientific developments in low vision rehabilitation based on a search of the literature, covers the role of digital technology and advances in neurofunctional rehabilitation, and the possibility of restoring vision by use of retinal prostheses and cellular therapy. Keywords: AMD, retinal dystrophy, biofeedback training, retinal prosthesis, stem cells

  15. Knowledge Translation in Rehabilitation Counseling

    Science.gov (United States)

    Johnson, Kurt; Brown, Pat; Harniss, Mark; Schomer, Katherine

    2010-01-01

    The process and importance of Knowledge Translation (KT) for the field of rehabilitation counseling is described. One element of the KT process, systematic reviews of the literature, is described along with several strategies for grading evidence. Practicing clinicians, as do consumers, encounter a number of barriers to using primary source…

  16. Biomedical engineering and rehabilitation techniques

    Energy Technology Data Exchange (ETDEWEB)

    Gaussens, G.; Jouve, B.; Laizier, J. (Office des Rayonnements Ionisants, CEN Saclay (France))

    The authors outline the programmes set up by the ORIS for the development of biomaterials and rehabilitation products using the radiochemical techniques. They then discuss the development of instruments designed to make the handling and use of radioactive isotopes easier for users.

  17. Juvenile Diabetes and Rehabilitation Counseling.

    Science.gov (United States)

    Stone, J. Blair; Gregg, Charles H.

    1981-01-01

    Severe complications of diabetes are more likely to occur with the juvenile diabetic and problems of psychosocial adjustment are recurring and difficult. Implications for the rehabilitation counselor are discussed in terms of employment considerations, the effects of complications, genetic counseling, and cooperation with other professionals.…

  18. Research in Danish cancer rehabilitation

    DEFF Research Database (Denmark)

    Høybye, Mette Terp; Dalton, Susanne Oksbjerg; Christensen, Jane

    2008-01-01

    of the cancer survivors with respect to cancer site, sociodemographic variables, social network, lifestyle, self-rated health and the prevalence of cancer-related late effects. The study is part of the FOCARE research project, in which the long-term effects of the rehabilitation programme are evaluated...

  19. Exercise rehabilitation for smartphone addiction.

    Science.gov (United States)

    Kim, Hyunna

    2013-12-31

    Internet addiction after launching smartphone is becoming serious. Therefore this paper has attempted to sketch out the diverse addiction treatment and then check the feasibility of exercise rehabilitation. The reason to addict the internet or smartphone is personalized individual characters related personal psychological and emotional factors and social environmental factors around them. We have shown that 2 discernible approaches due to 2 different addiction causes: that is behavioral treatment and complementary treatment. In the behavioral treatment, cognitive behavioral approach (CBT) is representative methods for changing additive thoughts and behaviors. Motivational interviewing (MI) is also the brief approach for persons not ready to change their behavior. Mindfulness behavioral cognitive treatment (MBCT) also the adapted treatment based on CBT. There are different types following the emphatic point, mindfulness-based relapse prevention (MBRP) or mindfulness oriented recovery enhancement (MORE). It is apparent that therapeutic recreation, music therapy using drumming activity, and art therapy are useful complementary treatment. Exercise rehabilitation contained the systematic procedures and comprehensive activities compared to previous addiction treatments by contents and techniques. Exercise rehabilitation can treat both physical symptoms at first and mental problems in the next step. So more evidence-based exercise rehabilitation researches need to do, but it is highly probable that exercise rehab can apply for smartphone addiction.

  20. Prosthodontic rehabilitation of dentinogenesis imperfecta

    OpenAIRE

    2011-01-01

    Dentinogenesis imperfecta and its prosthodontic management is a challenging task. Treatment protocol varies according to clinical case. Although various reports in the literature suggest general guidelines for treatment planning, the present case report describes a full mouth rehabilitation of a young patient with dentinogenesis imperfecta treated by maxillary fixed partial dentures and mandibular fiber reinforced overdenture with metal occlusal surfaces.

  1. Prosthodontic rehabilitation of dentinogenesis imperfecta

    Directory of Open Access Journals (Sweden)

    Anil Goud

    2011-01-01

    Full Text Available Dentinogenesis imperfecta and its prosthodontic management is a challenging task. Treatment protocol varies according to clinical case. Although various reports in the literature suggest general guidelines for treatment planning, the present case report describes a full mouth rehabilitation of a young patient with dentinogenesis imperfecta treated by maxillary fixed partial dentures and mandibular fiber reinforced overdenture with metal occlusal surfaces.

  2. Prosthodontic rehabilitation of dentinogenesis imperfecta.

    Science.gov (United States)

    Goud, Anil; Deshpande, Saee

    2011-04-01

    Dentinogenesis imperfecta and its prosthodontic management is a challenging task. Treatment protocol varies according to clinical case. Although various reports in the literature suggest general guidelines for treatment planning, the present case report describes a full mouth rehabilitation of a young patient with dentinogenesis imperfecta treated by maxillary fixed partial dentures and mandibular fiber reinforced overdenture with metal occlusal surfaces.

  3. Vocational Indecision and Rehabilitation Clients.

    Science.gov (United States)

    Strohmer, Douglas C.; And Others

    1984-01-01

    Assessed the vocational decision-making problems of rehabilitation clients (N=60). Revealed that decision-making problems of clients can be grouped into three areas: employment readiness, self-appraisal, and decision-making readiness. Suggested that vocationally decided and undecided subjects differ significantly in the extent to which they have…

  4. Modeling Rehabilitation Counselor Clinical Judgment.

    Science.gov (United States)

    Strohmer, Douglas C.; Leierer, Stephen J.

    2000-01-01

    Evaluate three proposed models of the rehabilitation counselor judgment process. Counselors made multiple judgments about clients whose information systematically varied across three dimensions. These data were then analyzed using path analytic techniques to determine which of the models was the best description of the process rehabilitation…

  5. Ethics in Rehabilitation Counselor Supervision.

    Science.gov (United States)

    Blackwell, Terry L.; Strohmer, Douglas C.; Belcas, Eva M.; Burton, Kathryn A.

    2002-01-01

    Article is an exploration of some of the ethical issues facing rehabilitation counselors who provide clinical supervision. Ethical issues related to competence, evaluation and due process, dual relationships, confidentiality, and informed consent are discussed. (Contains 28references, 2 tables, and 1 appendix.) (Author)

  6. Compliant actuation of rehabilitation robots

    NARCIS (Netherlands)

    Vallery, Heike; Veneman, Jan; Asseldonk, van Edwin; Ekkelenkamp, Ralf; Buss, Martin; Kooij, van der Herman

    2008-01-01

    This article discusses the pros and cons of compliant actuation for rehabilitation robots on the example of LOPES, focusing on the cons. After illustrating the bandwidth limitations, a new result has been derived: if stability in terms of passivity of the haptic device is desired, the renderable sti

  7. Hamstring injuries: Prevention and rehabilitation

    Directory of Open Access Journals (Sweden)

    KALLIS KALLI

    2016-10-01

    Full Text Available A review was conducted to present current views and effectiveness of prevention and rehabilitation methods of hamstring injuries. Methods: a review searching on the electronic data bases, including Proquest, Medline, Sport Discus, Cinahl plus, Health source Nursing / Academic edition, Academic search complete, Pub med and Scholar Google. Only randomized control studies (RCT'S were included which contained the intervention and control groups concerning either the prevention or rehabilitation of hamstrings. Results: fourteen randomized control studies were included. Twelve concerned the prevention and two the rehabilitation of hamstring injuries. From the analysis of the articles concerning prevention we concluded that stretching, especially static and warm up program named "The 11" did not show any benefits in preventing hamstring injuries whilst strength training exercises with eccentric contraction (Nordic exercises and warm-up program "The 11+" containing eccentric exercises of hamstring showed significant differences regarding the prevention. It is postulated that the effectiveness of this may be due to the fact that the researchers had targeted the progressive increase in the intensity and frequency of eccentric exercises. Conclusions: eccentric exercises seem (based on the findings included in this study to have an important role in the prevention and strengthening immediately after hamstring injury and also significantly role on reducing the risk of reinjury. A rehabilitation program that includes mainly stretching exercises with eccentric loading of hamstrings muscles and secondly an exercise program which includes core stability and progressive agility exercises were found to be the most effective for recovery after hamstrings injury.

  8. Sequelae and rehabilitation of stroke.

    Science.gov (United States)

    Ueda, S

    1991-10-01

    During rehabilitation after stroke, evaluation and treatment are carried out for sensorimotor impairments such as hemiplegia or dysphagia, perceptual-cognitive impairments such as unilateral spatial neglect, disabilities such as dependence in activities of daily living, as well as various types of handicaps. Research into these problems is reviewed.

  9. Rehabilitative and Assistive Technology: Overview

    Science.gov (United States)

    ... easier for a caregiver to care for a disabled person. The term “rehabilitative technology” is sometimes used to refer to aids used ... technology Adaptive devices or equipment Assistive devices and technology Communication aids Independent ... NICHD Research Advances of 2016 Getting to Know the New NICHD Director NIH to host scientific workshop on ...

  10. Rehabilitation of erectile function following radical prostatectomy

    Institute of Scientific and Technical Information of China (English)

    Andrew R. McCullough

    2008-01-01

    The concept of muscle rehabilitation after nerve injury is not a novel idea and is practiced in many branches of medicine, including urology. Bladder rehabilitation after spinal cord injury is universally practiced. The erectile dysfunction (ED) experienced after radical prostatectomy (RP) is increasingly recognized as being primarily neurogenic followed by secondary penile smooth muscle (SM) changes. There is unfortunately no standard approach to penile rehabilitation after RP because controlled prospective human studies are not available. This article reviews the epidemiology, experimental pathophysiological models, rationale for penile rehabilitation, and currently published rehabilitation strategies.

  11. Pediatric burn rehabilitation: Philosophy and strategies

    Directory of Open Access Journals (Sweden)

    Shohei Ohgi

    2013-09-01

    Full Text Available Burn injuries are a huge public health issue for children throughout the world, with the majority occurring in developing countries. Burn injuries can leave a pediatric patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. Rehabilitation is an essential and integral part of pediatric burn treatment. The aim of this article was to review the literature on pediatric burn rehabilitation from the Medline, CINAHL, and Web of Science databases. An attempt has been made to present the basic aspects of burn rehabilitation, provide practical information, and discuss the goals and conceptualization of rehabilitation as well as the development of rehabilitation philosophy and strategies.

  12. A Game System for Cognitive Rehabilitation

    Directory of Open Access Journals (Sweden)

    Azrulhizam Shapi’i

    2015-01-01

    Full Text Available Brain injury such as traumatic brain injury (TBI and stroke is the major cause of long-term disabilities in many countries. The increasing rate of brain damaged victims and the heterogeneity of impairments decrease rehabilitation effectiveness and competence resulting in higher cost of rehabilitation treatment. On the other hand, traditional rehabilitation exercises are boring, thus leading patients to neglect the prescribed exercises required for recovery. Therefore, we propose game-based approach to address these problems. This paper presents a rehabilitation gaming system (RGS for cognitive rehabilitation. The RGS is developed based on a proposed conceptual framework which has also been presented in this paper.

  13. State of the science on postacute rehabilitation: setting a research agenda and developing an evidence base for practice and public policy: an introduction

    Directory of Open Access Journals (Sweden)

    Heinemann Allen W

    2007-11-01

    Full Text Available Abstract The Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness along with academic, professional, provider, accreditor and other organizations, sponsored a 2-day State-of-the-Science of Post-Acute Rehabilitation Symposium in February 2007. The aim of this symposium was to serve as a catalyst for expanded research on postacute care (PAC rehabilitation so that health policy is founded on a solid evidence base. The goals were to: (1 describe the state of our knowledge regarding utilization, organization and outcomes of postacute rehabilitation settings, (2 identify methodologic and measurement challenges to conducting research, (3 foster the exchange of ideas among researchers, policymakers, industry representatives, funding agency staff, consumers and advocacy groups, and (4 identify critical questions related to setting, delivery, payment and effectiveness of rehabilitation services. Plenary presentation and state-of-the-science summaries were organized around four themes: (1 the need for improved measurement of key rehabilitation variables and methods to collect and analyze this information, (2 factors that influence access to postacute rehabilitation care, (3 similarities and differences in quality and quantity of services across PAC settings, and (4 effectiveness of postacute rehabilitation services. The full set of symposium articles, including recommendations for future research, appear in Archives of Physical Medicine and Rehabilitation.

  14. Effects of road networks on bird populations.

    Science.gov (United States)

    Kociolek, A V; Clevenger, A P; St Clair, C C; Proppe, D S

    2011-04-01

    One potential contributor to the worldwide decline of bird populations is the increasing prevalence of roads, which have several negative effects on birds and other vertebrates. We synthesized the results of studies and reviews that explore the effects of roads on birds with an emphasis on paved roads. The well-known direct effects of roads on birds include habitat loss and fragmentation, vehicle-caused mortality, pollution, and poisoning. Nevertheless, indirect effects may exert a greater influence on bird populations. These effects include noise, artificial light, barriers to movement, and edges associated with roads. Moreover, indirect and direct effects may act synergistically to cause decreases in population density and species richness. Of the many effects of roads, it appears that road mortality and traffic noise may have the most substantial effects on birds relative to other effects and taxonomic groups. Potential measures for mitigating the detrimental effects of roads include noise-reduction strategies and changes to roadway lighting and vegetation and traffic flow. Road networks and traffic volumes are projected to increase in many countries around the world. Increasing habitat loss and fragmentation and predicted species distribution shifts due to climate change are likely to compound the overall effects of roads on birds.

  15. Seismic risk assessment for road in Indonesia

    Science.gov (United States)

    Toyfur, Mona Foralisa; Pribadi, Krishna S.

    2016-05-01

    Road networks in Indonesia consist of 446,000 km of national, provincial and local roads as well as toll highways. Indonesia is one of countries that exposed to various natural hazards, such as earthquakes, floods, landslides, etc. Within the Indonesian archipelago, several global tectonic plates interact, such as the Indo-Australian, Pacific, Eurasian, resulting in a complex geological setting, characterized by the existence of seismically active faults and subduction zones and a chain of more than one hundred active volcanoes. Roads in Indonesia are vital infrastructure needed for people and goods movement, thus supporting community life and economic activities, including promoting regional economic development. Road damages and losses due to earthquakes have not been studied widely, whereas road disruption caused enormous economic damage. The aim of this research is to develop a method to analyse risk caused by seismic hazard to roads. The seismic risk level of road segment is defined using an earthquake risk index, adopting the method of Earthquake Disaster Risk Index model developed by Davidson (1997). Using this method, road segments' risk level can be defined and compared, and road risk map can be developed as a tool for prioritizing risk mitigation programs for road networks in Indonesia.

  16. The future of cancer rehabilitation: emerging subspecialty.

    Science.gov (United States)

    Gamble, Gail L; Gerber, Lynn H; Spill, Gayle R; Paul, Kelly L

    2011-05-01

    In this article, the subject of the future for the field of cancer rehabilitation is embarked upon. Future practice innovation models must involve the appropriate and comprehensive evaluation of cancer patients' rehabilitation needs using better functional measurement tools, as well as the forging of new partnerships through the presence and initiation of physiatric coordinated rehabilitation teams, particularly during the acute phases of treatment. Partnering rehabilitation teams closely with oncology colleagues during surveillance years, through the development of outpatient survivorship clinics for diagnosis and treatment of many of cancer patients' ongoing symptoms and functional limitations, will allow for more comprehensive and coordinated follow-up cancer care. Integration of rehabilitation into palliative care and continued efforts to increase oncology's awareness and acceptance of rehabilitation benefits and expertise are needed. Future education models for medical school, residency, and postresidency training are discussed, as are future research goals to help in placing cancer rehabilitation at the forefront of acute cancer care and survivorship care.

  17. Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation.

    Science.gov (United States)

    Corrà, Ugo; Piepoli, Massimo F; Carré, François; Heuschmann, Peter; Hoffmann, Uwe; Verschuren, Monique; Halcox, Julian; Giannuzzi, Pantaleo; Saner, Hugo; Wood, David; Piepoli, Massimo F; Corrà, Ugo; Benzer, Werner; Bjarnason-Wehrens, Birna; Dendale, Paul; Gaita, Dan; McGee, Hannah; Mendes, Miguel; Niebauer, Josef; Zwisler, Ann-Dorthe Olsen; Schmid, Jean-Paul

    2010-08-01

    Cardiac patients after an acute event and/or with chronic heart disease deserve special attention to restore their quality of life and to maintain or improve functional capacity. They require counselling to avoid recurrence through a combination of adherence to a medication plan and adoption of a healthy lifestyle. These secondary prevention targets are included in the overall goal of cardiac rehabilitation (CR). Cardiac rehabilitation can be viewed as the clinical application of preventive care by means of a professional multi-disciplinary integrated approach for comprehensive risk reduction and global long-term care of cardiac patients. The CR approach is delivered in tandem with a flexible follow-up strategy and easy access to a specialized team. To promote implementation of cardiac prevention and rehabilitation, the CR Section of the EACPR (European Association of Cardiovascular Prevention and Rehabilitation) has recently completed a Position Paper, entitled 'Secondary prevention through cardiac rehabilitation: A condition-oriented approach'. Components of multidisciplinary CR for seven clinical presentations have been addressed. Components include patient assessment, physical activity counselling, exercise training, diet/nutritional counselling, weight control management, lipid management, blood pressure monitoring, smoking cessation, and psychosocial management. Cardiac rehabilitation services are by definition multi-factorial and comprehensive, with physical activity counselling and exercise training as central components in all rehabilitation and preventive interventions. Many of the risk factor improvements occurring in CR can be mediated through exercise training programmes. This call-for-action paper presents the key components of a CR programme: physical activity counselling and exercise training. It summarizes current evidence-based best practice for the wide range of patient presentations of interest to the general cardiology community.

  18. 34 CFR 386.1 - What is the Rehabilitation Long-Term Training program?

    Science.gov (United States)

    2010-07-01

    ... rehabilitation counseling; (2) Rehabilitation technology; (3) Rehabilitation medicine; (4) Rehabilitation nursing...) The use, applications, and benefits of assistive technology devices and assistive technology...

  19. Invasive Brown Treesnake movements at road edges indicate road-crossing avoidance

    Science.gov (United States)

    Siers, Shane R; Savidge, Julie S; Reed, Robert N.

    2014-01-01

    Roads have significant impacts on the dispersal of wildlife. Although this poses a threat to the abundance and diversity of desirable flora and fauna, it also affords some opportunity for enhancing control of invasive species. Roads are the most common terrain features that may affect the rate of landscape-scale movements of invasive Brown Treesnakes (Boiga irregularis) throughout Guam. We radio tracked 45 free-ranging Brown Treesnakes in close proximity to two roads in Guam and recorded instances where daily relocations of snakes spanned roads. Then we reconstructed observed movement histories with randomized turning angles, which served as a useful null hypothesis for assessing the effect of roads or road edge habitat on Brown Treesnake movement patterns. Random walk simulations demonstrated that Brown Treesnakes crossed these roads at a rate far lower than would be expected if snake movement was random with respect to roads and road edge habitat. We discuss two alternative hypotheses for these results: 1) habitat gaps posed by roads physically or behaviorally restrict snake movement; or 2) road edges provide preferred foraging habitat from which snakes are reluctant to depart. Because roads often form the boundaries of jurisdictional and management units, the effects of roads on the movement of invasive Brown Treesnakes will influence the prospects for success of future landscape-level suppression efforts.

  20. Towards remote sensing of Arctic ice roads and associated human activities using SUOMI NPP night light images

    Science.gov (United States)

    Bennett, M.; Smith, L. C.; Stephenson, S. R.

    2014-12-01

    Ice roads are often the only cost-effective means of transporting goods and supplies to communities, mines, and other sites in remote parts of the Arctic. Yet, there is no global dataset for Arctic ice roads. However, remotely sensed images from the SUOMI NPP day/night band (DNB) of the Visible Infrared Imaging Radiometer Suite (VIIRS) may allow for the construction of such a dataset. The DNB's high sensitivity to low-level light suggests that while it is not feasible to view ice roads at night per se, other prominent features associated with ice roads can serve as proxies. Using a time series of images taken in winter 2012, 2013, and 2014, SUOMI NPP images are compared with Landsat 8 images and an existing map of the Tibbitt to Contwoyto ice road in the Northwest Territories and Nunavut, Canada. First results reveal that while the ice road's exact path cannot be discerned, key points of human activity along the way can be made out. This bodes well for future applications of DNB imagery to detect ice roads in places like the Russian Federation, for which there is a dearth of publicly available maps. Knowing the location of ice roads is important for two reasons. First, these data can signal sites of natural resource extraction in places for which information is not widely disseminated, such as in the Russian Far East. Second, new geospatial datasets for ice roads can be combined with models assessing impacts of climate change on circumpolar land accessibility (Stephenson et al. 2011) in order to understand where the structural integrity of ice roads may be at risk. As warming temperatures threaten to shorten the season for ice roads, communities and mines alike will need to prepare for changes to their transportation infrastructure, made out of the changing landscape itself.

  1. Pulmonary rehabilitation for COPD: are programs with minimal exercise equipment effective?

    Science.gov (United States)

    Alison, Jennifer A; McKeough, Zoe J

    2014-11-01

    Pulmonary rehabilitation is an essential component of chronic obstructive pulmonary disease (COPD) management with strong evidence supporting the efficacy of pulmonary rehabilitation to improve exercise capacity and quality of life, as well as reduce hospital admissions. However, it is estimated that only 2-5% of people with COPD who could benefit from pulmonary rehabilitation have access to programs. Most research on the benefits of pulmonary rehabilitation has used equipment such as cycle ergometers and treadmills for endurance training and weight machines for resistance training. To enable greater availability of pulmonary rehabilitation, the efficacy of exercise training using minimal equipment needs to be evaluated. Randomised controlled trials that used minimal, low cost equipment for endurance (eight trials) and strength training (three trials) compared to no training in people with COPD were evaluated. Statistically and clinically significant differences in functional exercise capacity and quality of life, as well as improvements in strength were demonstrated when exercise training with minimal equipment was compared to no training [six-minute walk test: mean difference 40 (95% CI: 13 to 67) metres; St George's Respiratory Questionnaire: mean difference -7 (95% CI: -12 to -3) points]. While the number of studies is relatively small and of variable quality, there is growing evidence that exercise training using minimal, low cost equipment may be an alternative to equipment-intensive pulmonary rehabilitation programs.

  2. Rockfall hazard assessment along a road on Peloritani Mounts (northeastern Sicily, Italy

    Directory of Open Access Journals (Sweden)

    G. Pappalardo

    2013-12-01

    Full Text Available A hazard assessment has been performed on rock slopes impending over a segment of the Taorminese Road, which connects two popular tourist destinations in northeastern Sicily: the urban centers of Taormina and Castelmola. The road crosses steep, rock slopes, with a complex geological and tectonic history. The section of the road close to Castelmola is often affected by rockfall phenomena, causing injury to people and serious damage to buildings and traffic. The study analyzes the geostructural setting of the unstable rock masses, by evaluating their mechanical properties and the kinematics of potential failures. Rockfall simulations confirm that falling rocks would involve the Taorminese Road with different kinetic energy rates and prove useful for suggesting the most suitable mitigation technologies for future remedial works. The modified Rockfall Hazard Rating System has been applied to highlight the different levels of hazard along the road. The compiled hazard map shows that the slopes need urgent remedial works, especially because Taorminese is the only access road to Castelmola and its interruption would lead to the isolation of the entire village.

  3. Road-networks, a practical indicator of human impacts on biodiversity in Tropical forests

    Science.gov (United States)

    Hosaka, T.; Yamada, T.; Okuda, T.

    2014-02-01

    Tropical forests sustain the most diverse plants and animals in the world, but are also being lost most rapidly. Rapid assessment and monitoring using remote sensing on biodiversity of tropical forests is needed to predict and evaluate biodiversity loss by human activities. Identification of reliable indicators of forest biodiversity and/or its loss is an urgent issue. In the present paper, we propose the density of road networks in tropical forests can be a good and practical indicator of human impacts on biodiversity in tropical forests through reviewing papers and introducing our preliminary survey in peninsular Malaysia. Many previous studies suggest a strong negative impact of forest roads on biodiversity in tropical rainforests since they changes microclimate, soil properties, drainage patterns, canopy openness and forest accessibility. Moreover, our preliminary survey also showed that even a narrow logging road (6 m wide) significantly lowered abundance of dung beetles (well-known bio-indicator in biodiversity survey in tropical forests) near the road. Since these road networks are readily to be detected with remote sensing approach such as aerial photographs and Lider, regulation and monitoring of the road networks using remote sensing techniques is a key to slow down the rate of biodiversity loss due to forest degradation in tropical forests.

  4. Roads Belong In the Urban Landscape

    DEFF Research Database (Denmark)

    Clemmensen, Thomas Juel

    2012-01-01

    In spite of being an essential part of the system of automobility and as such playing an important role in the development of urban landscapes, road networks seldom attracts much attention among architects involved in the planning and design of urban landscapes. One reason is probably found...... in the dominance of the zoning approach to planning, where road planning easily becomes isolated and reduced to a matter of traffic regulation and transport economy. Another possible reason could be, as suggested by the Australian landscape architect Christopher Sawyer, that road networks like other...... to infrastructure and claim that ‘roads belong in the urban landscape’, a claim that echoes John Brinkerhoff Jacksons essay Roads Belong in The Landscape (1994). Furthermore, it will be argued that road networks can be considered an important framework for creating new ‘green infrastructures’ that can qualify urban...

  5. Dynamics of vehicle-road coupled system

    CERN Document Server

    Yang, Shaopu; Li, Shaohua

    2015-01-01

    Vehicle dynamics and road dynamics are usually considered to be two largely independent subjects. In vehicle dynamics, road surface roughness is generally regarded as random excitation of the vehicle, while in road dynamics, the vehicle is generally regarded as a moving load acting on the pavement. This book suggests a new research concept to integrate the vehicle and the road system with the help of a tire model, and establishes a cross-subject research framework dubbed vehicle-pavement coupled system dynamics. In this context, the dynamics of the vehicle, road and the vehicle-road coupled system are investigated by means of theoretical analysis, numerical simulations and field tests. This book will be a valuable resource for university professors, graduate students and engineers majoring in automotive design, mechanical engineering, highway engineering and other related areas. Shaopu Yang is a professor and deputy president of Shijiazhuang Tiedao University, China; Liqun Chen is a professor at Shanghai Univ...

  6. Salt on roads and the environment (VB)

    DEFF Research Database (Denmark)

    Hessberg, Philipp von; Jørgensen, Michael Søgaard

    2000-01-01

    This report descripes the extent of use of salt on roads in Denmark and the environmental consequences of this. Alternative strategies for reducing the risk of greasy roads and different ways of alleviating the vegetation are also discussed.The different consequences for the environment that this......This report descripes the extent of use of salt on roads in Denmark and the environmental consequences of this. Alternative strategies for reducing the risk of greasy roads and different ways of alleviating the vegetation are also discussed.The different consequences for the environment...... that this report discusses are:- The ground water.- Lakes and streams.- Plants and trees along roads.The consequences for the economy through usage of salt on roads has not been carried out....

  7. The road plan model: Information model for planning road building activities

    Science.gov (United States)

    Azinhal, Rafaela K.; Moura-Pires, Fernando

    1994-01-01

    The general building contractor is presented with an information model as an approach for deriving a high-level work plan of construction activities applied to road building. Road construction activities are represented in a Road Plan Model (RPM), which is modeled in the ISO standard STEP/EXPRESS and adopts various concepts from the GARM notation. The integration with the preceding road design stage and the succeeding phase of resource scheduling is discussed within the framework of a Road Construction Model. Construction knowledge is applied to the road design and the terrain model of the surrounding road infrastructure for the instantiation of the RPM. Issues regarding the implementation of a road planner application supporting the RPM are discussed.

  8. Gross human rights violations and reparation under international law: approaching rehabilitation as a form of reparation.

    Science.gov (United States)

    Sveaass, Nora

    2013-01-01

    The strengthening of international criminal law through an increased focus on the right to reparation and rehabilitation for victims of crimes against humanity represents an important challenge to health professionals, particularly to those in the field of trauma research and treatment. A brief outline of some developments in the field of international law and justice for victims of gross human rights violations is presented, with a focus on the right to reparation including the means for rehabilitation. The fulfillment of this right is a complex endeavor which raises many questions. The road to justice and reparation for those whose rights have been brutally violated is long and burdensome. The active presence of trauma-informed health professionals in this process is a priority. Some of the issues raised within the context of states' obligations to provide and ensure redress and rehabilitation to those subjected to torture and gross human rights violations are discussed, and in particular how rehabilitation can be understood and responded to by health professionals.

  9. THE GREAT SILK ROAD AND TURKISH WORLD

    Directory of Open Access Journals (Sweden)

    Mustafa ÖZDEMİR

    2011-04-01

    Full Text Available The expression of the great Silk Road first came from the famouse Chinese traveler Çjan Syan before the BC and is now known as Kervan Road. Later, this expression gained a new meaning between Asia, the Mediterranean and the European countries.An estimated of 20 000 km of total length of the Great Silk Road passed the Turkish peoples settled lands. The Silk Road that was considered as the Jugularvein major trade route that was connecting China and Byzantium was in Turks hands.

  10. Automatic Construction of Hierarchical Road Networks

    Science.gov (United States)

    Yang, Weiping

    2016-06-01

    This paper describes an automated method of constructing a hierarchical road network given a single dataset, without the presence of thematic attributes. The method is based on a pattern graph which maintains nodes and paths as junctions and through-traffic roads. The hierarchy is formed incrementally in a top-down fashion for highways, ramps, and major roads directly connected to ramps; and bottom-up for the rest of major and minor roads. Through reasoning and analysis, ramps are identified as unique characteristics for recognizing and assembling high speed roads. The method makes distinctions on the types of ramps by articulating their connection patterns with highways. Major and minor roads will be identified by both quantitative and qualitative analysis of spatial properties and by discovering neighbourhood patterns revealed in the data. The result of the method would enrich data description and support comprehensive queries on sorted exit or entry points on highways and their related roads. The enrichment on road network data is important to a high successful rate of feature matching for road networks and to geospatial data integration.

  11. Value creation of road infrastructure networks: a structural equation approach

    NARCIS (Netherlands)

    Hartmann, A.; Ling, F.Y.Y.

    2016-01-01

    Although road agencies need to provide road infrastructure that is beneficial for road users, little is known about how the activities of the agencies influence the value creation of road infrastructure. From a service-dominant logic perspective, the importance of road maintenance and traffic manage

  12. The Use of Theatre Tours in Road Safety Education.

    Science.gov (United States)

    Powney, Janet; And Others

    The Scottish Road Safety Campaign and the Road Safety Council of Wales have made a large investment in theater tours as a method of providing road safety education. This study aimed to evaluate the effectiveness of a road safety message delivered by a theater group, Road Safety Officers (RSOs), or, teachers for pupils in upper secondary classes.…

  13. Road Network Generalization Based on Float CAR Tracking

    Science.gov (United States)

    Zhou, Cheng; Li, Wenjing; Jia, Hongguo

    2016-06-01

    Road generalization is not only helpful to simplify complicated road networks but can also satisfy the needs of reasonable display of roads under varying scales, thus offering basis for updating and grading urban roads. This paper proposes a selection method for road network generalization by integrating road-associated vehicle trajectory dynamic properties and road features and calculating the importance of urban roads. First of all, the location and motion information of floating vehicles are associated to relevant roads to generate the dynamic properties of roads. Then, the dynamic and static properties of roads are analyzed, and the cluster analysis is conducted to the trajectory points at road intersections to obtain the importance of some road intersections there are vehicles passing by. Afterwards, the weights of roads are calculated using the dominance rough set, the roads are ranked by weight and the practical significance of ranking results is analyzed. Finally, the selection rules for the basic framework of road network are determined to meet with different requirements and guarantee both connectivity and completeness of road networks. The results show that the relative importance of roads is made clear by taking advantage of the rough set and the generalized road network highlights the distribution and connection of urban main roads.

  14. Identification of Maximum Road Friction Coefficient and Optimal Slip Ratio Based on Road Type Recognition

    Institute of Scientific and Technical Information of China (English)

    GUAN Hsin; WANG Bo; LU Pingping; XU Liang

    2014-01-01

    The identification of maximum road friction coefficient and optimal slip ratio is crucial to vehicle dynamics and control. However, it is always not easy to identify the maximum road friction coefficient with high robustness and good adaptability to various vehicle operating conditions. The existing investigations on robust identification of maximum road friction coefficient are unsatisfactory. In this paper, an identification approach based on road type recognition is proposed for the robust identification of maximum road friction coefficient and optimal slip ratio. The instantaneous road friction coefficient is estimated through the recursive least square with a forgetting factor method based on the single wheel model, and the estimated road friction coefficient and slip ratio are grouped in a set of samples in a small time interval before the current time, which are updated with time progressing. The current road type is recognized by comparing the samples of the estimated road friction coefficient with the standard road friction coefficient of each typical road, and the minimum statistical error is used as the recognition principle to improve identification robustness. Once the road type is recognized, the maximum road friction coefficient and optimal slip ratio are determined. The numerical simulation tests are conducted on two typical road friction conditions(single-friction and joint-friction) by using CarSim software. The test results show that there is little identification error between the identified maximum road friction coefficient and the pre-set value in CarSim. The proposed identification method has good robustness performance to external disturbances and good adaptability to various vehicle operating conditions and road variations, and the identification results can be used for the adjustment of vehicle active safety control strategies.

  15. The impact of roads on the demography of grizzly bears in Alberta.

    Directory of Open Access Journals (Sweden)

    John Boulanger

    Full Text Available One of the principal factors that have reduced grizzly bear populations has been the creation of human access into grizzly bear habitat by roads built for resource extraction. Past studies have documented mortality and distributional changes of bears relative to roads but none have attempted to estimate the direct demographic impact of roads in terms of both survival rates, reproductive rates, and the interaction of reproductive state of female bears with survival rate. We applied a combination of survival and reproductive models to estimate demographic parameters for threatened grizzly bear populations in Alberta. Instead of attempting to estimate mean trend we explored factors which caused biological and spatial variation in population trend. We found that sex and age class survival was related to road density with subadult bears being most vulnerable to road-based mortality. A multi-state reproduction model found that females accompanied by cubs of the year and/or yearling cubs had lower survival rates compared to females with two year olds or no cubs. A demographic model found strong spatial gradients in population trend based upon road density. Threshold road densities needed to ensure population stability were estimated to further refine targets for population recovery of grizzly bears in Alberta. Models that considered lowered survival of females with dependant offspring resulted in lower road density thresholds to ensure stable bear populations. Our results demonstrate likely spatial variation in population trend and provide an example how demographic analysis can be used to refine and direct conservation measures for threatened species.

  16. Development of roads in the area of the international border crossing Vrtojba

    Directory of Open Access Journals (Sweden)

    Alojzij Juvanec

    2005-01-01

    Full Text Available The Republic of Slovenia is part of the European Union. With the abolishment of borders (free flow of goods also the traffic functions in the areas of international border crossings between member countries are changing. Among such border crossings is also the international border crossing (IBC between the Republic of Italy and the Republic of Slovenia in Vrtojba. The bordering communities of Šempeter-Vrtojba and Gorizia (Italy are therefore already preparing a development plan related to the use of space to ensure traffic access to the wider area of this border crossing ,when the “Schengen border” is abolished (free flow of people. Especially important is adequate design of roads that should allow this space to be uniformly and equally included into the road systems of both neighbouring countries. Owing to this change, the existing “communal” road, which today leads to the border crossing, will attain the status of the expressway Ljubljana–Venice via Gorizia, which means that high travelling speeds and changed regime of connecting roads can be expected. The existing arrangement has too many individual connections, and there is the possibility of turning or even parking (in Italy. The paper presents solutions or proposals for a systematic rearrangement of the present road through the IBC to the motorway and the principle of connecting the road networks of both neighbouring communities to it. Presented are also proposals how to rearrange or complete the existing local road networks and the railway infrastructure (arrangement of an intermodal terminal, and the traffic regime on roads to achieve as efficient use of space as possible at the present IBC Vrtojba with the least possible burden to the space.

  17. Risk assessment on an Argentinean road with a dynamic traffic simulator

    Science.gov (United States)

    Voumard, Jérémie; Baumann, Valérie; Jaboyedoff, Michel; Derron, Marc-Henri; Penna, Ivanna

    2014-05-01

    The National Route 7 in Argentina is one of the most important corridors crossing the Andean Cordillera. It concentrates most of the traffic related to the Southern Common Market (MERCOSUR), it also connects Mendoza city (the fourth most populated in Argentina) with Santiago de Chile (the Chile capital city), and is used by tourists to access to the Aconcagua National park, Puente del Inca natural monument, skiing resorts, and to local displacements for the villages along the Mendoza valley. The road crosses the Andes through the Mendoza river valley at an elevation between 2'000 and 3'000 m. The traffic (2500 vehicles/day) is composed of motorcycles, cars and pickup trucks, trucks without trailer, buses, and semi-trailer trucks. Debris flows developed along tributaries of the Mendoza River, and due to remobilization of talus materials, impact frequently the road, causing traffic disruptions, bridges damages, etc. Rock falls detached from highly fractured outcrops also impact frequently the road, causing sometimes casualties. The aim of this study is to evaluate risk along sections of the National Road 7 develop along the Mendoza river, using a dynamic traffic simulator based on MATLAB© routine. The dynamic traffic simulator developed for natural hazards events on roads consider different scenarios based on traffic speeds, vehicle types, interactions types, road properties and natural processes. Here we show that vehicle types and traffic variations may influence the risk estimation. The analyzed risk on several critical sections of the National Route 7 demonstrates that risk may significantly increase: 1) on sinuous sections, steep sections and because of road conditions changes (exit of tunnel, bridges, road width, etc.) because of decreasing vehicle speed, particularly with semi-trailer trucks; 2) when an event, such a debris flow, occurs and generates a vehicle tailback increasing their duration presence in the risk area.

  18. Brazilian Amazon Roads and Parks: Temporal & Spatial Deforestation Dynamics

    Science.gov (United States)

    Pfaff, A.; Robalino, J.

    2011-12-01

    Heterogeneous Forest Impacts of Transport Infrastructure: spatial frontier dynamics & impacts of Brazilian Amazon road changes Prior research on road impacts has almost completely ignored heterogeneity of impacts and as a result both empirically understated potential impact and missed policy potential. We note von Thunen's model suggests not only heterogeneity with distance from market but also specifically road impacts rising then falling with distance ('non-monoThunicity') Endogenous development and partial adjustment dynamics support this for the short run. Causal effects result from studying Brazilian Amazon deforestation (1976-87, 2000-04) using matching for short-run responses to lagged new roads changes (1968-75, 1985-00). We show the critical role of prior development, proxied by 1968 and 1985 road distances, for which exact matching addresses development trends and transforms impact estimates. Splitting the sample on this measure finds confirmation of the nonmonotonic predictions: new road impacts are relatively low if a prior road was close, such that prior transport access and endogenous development dynamics compete with the new road for influence, but also if a prior road was far, since first-decade adjustment in pristine areas is limited; yet in between these bounds, investments immediately raise deforestation significantly. This pattern helps to explain lower estimates within research on a single average impact. It suggests potential for REDD if a country chooses to shift its spatial transport networks. Protected Areas & Brazilian Amazon Deforestation: modeling and testing the impacts of varied PA strategies We model and then estimate the impacts of multiple types of protected areas upon 2000 - 2004 deforestation in the Brazilian Amazon. Our modeling starts with federal versus state objectives and predicts differences in both choice and implementation of each PA strategy that we examine. Our empirical examination brings not only breakdowns sufficient

  19. Final priority; Rehabilitation Services Administration--Assistive Technology Alternative Financing Program. Final priority.

    Science.gov (United States)

    2014-08-14

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Assistive Technology Alternative Financing Program administered by the Rehabilitation Services Administration (RSA). The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years. This priority is designed to ensure that the Department funds high-quality assistive technology (AT) alternative financing programs (AFPs) that meet rigorous standards in order to enable individuals with disabilities to access and acquire assistive technology devices and services necessary to achieve education, community living, and employment goals.

  20. Visibility of road markings on wet road surfaces : a literature study.

    NARCIS (Netherlands)

    Schreuder, D.A.

    1981-01-01

    The English version of B 14153 is presented. Road markings, notably lane markers, are often only poorly visible when the road is wet. This is particularly a problem at night on unlit roads. A study is made of whether a solution for this problem can be found on the basis of the known, published li

  1. The relationship between traffic volume and road safety on the secondary road network : a literature review.

    NARCIS (Netherlands)

    Duivenvoorden, K.

    2010-01-01

    On motorways, congestion is a well-known traffic problem. On the secondary road network, the same problem arises when traffic volume increases and the driven speed decreases. At certain times of day, roads get congested and the number of interactions between road users increases. In general, higher

  2. The Effects of Vibrations Experienced during Road vs. Off-road Cycling.

    Science.gov (United States)

    Macdermid, P W; Fink, P W; Stannard, S R

    2015-10-01

    The purpose of this investigation was to compare the effects of vibrations experienced during off-road and road cycling. It was hypothesised that additional damping will be expressed through a greater work demand and increased physiological markers when travelling at the same speed over an identical terrain profile. Participants ascended a tar-sealed road climb and a single-track off-road climb at a predetermined speed. Time, speed, power, cadence, heart rate and V̇ O2 were sampled and logged every second while tri-axial accelerometers recorded accelerations (128 Hz) to quantify vibrations experienced. Statistical analysis indicated accelerations to be greater during the off-road condition (proad riding are associated with the increased vibrations and rolling resistance experienced. This led to increases in the work done (road: 280±69 vs. off-road: 312±74 W, p=0.0003) and, consequentially, a significant increase in the physiological markers V̇ O2 (road: 48.5±7.5 off-road 51.4±7.3 ml·kg(-1)·min(-1), p=0.0033) and heart rate (road: 161±10 off-road 170±10 bpm, p=0.0001) during the off-road condition. Such physiological differences and their causes are important to understand in order to provide suitable training recommendations or technological interventions for improving competitive performance or recreational enjoyment.

  3. RoADS: a road pavement monitoring system for anomaly detection using smart phones

    NARCIS (Netherlands)

    Seraj, Fatjon; Zwaag, van der Berend Jan; Dilo, Arta; Luarasi, Tamara; Havinga, Paul; Atzmueller, Martin; Chin, Alvin; Janssen, Frederik; Schweizer, Immanuel; Trattner, Christoph

    2016-01-01

    Monitoring the road pavement is a challenging task. Authorities spend time and finances to monitor the state and quality of the road pavement. This paper investigate road surface monitoring with smartphones equipped with GPS and inertial sensors: accelerometer and gyroscope. In this study we descri

  4. RoADS: a road pavement monitoring system for anomaly detection using smart phones

    NARCIS (Netherlands)

    Seraj, Fatjon; Zwaag, van der Berend Jan; Dilo, Arta; Luarasi, Tamara; Havinga, Paul

    2014-01-01

    Monitoring the road pavement is a challenging task. Authorities spend time and finances to monitor the state and quality of the road pavement. This paper investigate road surface monitoring with smartphones equipped with GPS and inertial sensors: accelerometer and gyroscope. In this study we describ

  5. [Data protection in rehabilitation research].

    Science.gov (United States)

    Exner, A K; Gerold, H; Breckenkamp, J; Bahmer, J; Klemke, R; Berg-Beckhoff, G; Horschke, A; Razum, O

    2014-08-01

    Data protection is regulated by legislation and has to be adhered to by scientists, too. This overview shows where aspects of data protection have to be considered in rehabilitation research. Important legal sources are the code of social law X, the German Federal Data Protection Act and the data protection acts of the German states. Specific recommendations about patient information sheet and written informed consent are given for research based on interviews with study participants. Furthermore, operations such as collecting, processing, using, storing, publishing and archiving of personal data are explained, taking into account the requirements of data protection. A practical example (URL: www.thieme-connect.de/ejournals/toc/rehabilitation) shows how to separate personal data and research data using the services of an external data custodian.

  6. Multifamily Housing Rehabilitation Process Improvements

    Energy Technology Data Exchange (ETDEWEB)

    Sweet, Marshall L. [Partnership for Home Innovation, Upper Marlboro, MD (United States); Francisco, Abby [Partnership for Home Innovation, Upper Marlboro, MD (United States); Roberts, Sydney G. [Partnership for Home Innovation, Upper Marlboro, MD (United States)

    2016-03-01

    Rea Ventures Group, LLC (Rea Ventures) partnered with Southface Energy Institute (Southface)—a member of the U.S. Department of Energy’s Partnership for Home Innovation Building America research team—to rehabilitate 418 low-income multifamily rental apartments located at 14 properties in Georgia (International Energy Conservation Code Climate Zones 2–4). These 22-year-old units with individual utility meters were arranged in row house or townhouse style. Rehabilitation plans were developed using a process prescribed by the U.S. Department of Agriculture (USDA) Rural Development program, which partially funded the building upgrades. The USDA is responsible for building, upgrading, and subsidizing housing in rural areas nationwide; this housing includes more than 14,000 existing multifamily housing developments. In 2012, more than $100 million in grants and loans were allocated for that purpose.

  7. Rehabilitering af svaer traumatisk hjerneskade

    DEFF Research Database (Denmark)

    Nordenbo, Annette M; Jakobsen, Johannes K

    2007-01-01

    INTRODUCTION: In September 2000 the Brain Injury Unit at Hvidovre Hospital was established, offering subacute intensive rehabilitation to patients with severe traumatic brain injury. Uptake area: Eastern part of Denmark, the Faroe Islands and Greenland. Outcome 6 months after discharge is presented...... for patients from the first 2 years, focusing on disability and social factors. MATERIALS AND METHODS: Patients were selected on the basis of the Glasgow Coma Scale after end of sedation to ensure that the most severely-injured were included in the study. Rehabilitation was initiated immediately regardless...... of the level of consciousness. Patients were assessed using established rating-scales. Local social authorities were involved at discharge. RESULTS: Of 77 consecutive patients, 5 died before follow-up and 6 patients were not seen at follow up. 79% of the remaining group had post-traumatic amnesia lasting more...

  8. Multisensory stimulation in stroke rehabilitation

    Directory of Open Access Journals (Sweden)

    Barbro Birgitta Johansson

    2012-04-01

    Full Text Available The brain has a large capacity for automatic simultaneous processing and integration of sensory information. Combining information from different sensory modalities facilitates our ability to detect, discriminate, and recognize sensory stimuli, and learning is often optimal in a multisensory environment. Currently used multisensory stimulation methods in stroke rehabilitation include motor imagery, action observation, training with a mirror or in a virtual environment, or various kinds of music therapy. Several studies have shown positive effects been reported but to give general recommendation more studies are needed. Patient heterogeneity and the interactions of age, gender, genes and environment are discussed. Randomized controlled longitudinal trials starting earlier post stroke are needed. The advance in brain network science and neuroimaging enabling longitudinal studies of structural and functional networks are likely to have an important impact on patient selection for specific interventions in future stroke rehabilitation.

  9. Stroke survivors' experiences of rehabilitation

    DEFF Research Database (Denmark)

    Peoples, Hanne; Satink, Ton; Steultjens, Esther

    2011-01-01

    INTRODUCTION: The aim was to obtain the best available knowledge on stroke survivors' experiences of rehabilitation. The increase in demands for accountability in health care and acknowledgement of the importance of client participation in health decisions calls for systematic ways of integrating...... this perspective. METHODS AND MATERIALS: A systematic review of qualitative studies was performed. A literature search in MEDLINE, CINAHL, PsycINFO, and EMBASE was conducted. Suitability for inclusion was based on selected criteria: published qualitative studies written in English from 1990 to 2008 on stroke...... needs, 3) Physical and non-physical needs, 4) Being personally valued and treated with respect, 5) Collaboration with health care professionals and 6) Assuming responsibility and seizing control. DISCUSSION: The synthesis showed that stroke survivors' experiences of rehabilitation reflected individual...

  10. Low vision rehabilitation: current perspectives

    OpenAIRE

    Vingolo EM; De Rosa V; Domanico D; Anselmucci F

    2015-01-01

    Enzo Maria Vingolo, Vittoria De Rosa, Daniela Domanico, Federico Anselmucci  Department of Ophthalmology, University La Sapienza of Rome, Terracina, Italy Abstract: Quality of life in low vision patients is deeply conditioned by their visual ability, and increased rates of depression, domestic injury, and need for caregiver assistance can be expected as a result of low performance. Much effort have been made recently in order to develop new tools and aids for rehabilitation of low v...

  11. Rehabilitation for total joint arthroplasty.

    Science.gov (United States)

    Ritterman, Scott; Rubin, Lee E

    2013-05-01

    Total hip and knee replacement are two of the most common and successful elective surgeries preformed in the United States each year. Preoperative medical preparation and postoperative rehabilitation are equally important to a successful outcome. Physical deconditioning, tobacco use, obesity and medical co-morbidities can adversely affect outcomes and should be addressed before any elective procedure. Formal postoperative therapy is geared towards the specific surgery and is aimed at returning the patient to independent activity.

  12. Adapting Playware to Rehabilitation Practices

    DEFF Research Database (Denmark)

    Nielsen, Camilla Balslev; Lund, Henrik Hautop

    2012-01-01

    We describe how playware and games may become adaptive to the interaction of the individual user and how therapists use this adaptation property to apply modular interactive tiles in rehabilitation practices that demand highly individualized training. Therapists may use the interactive modular...... patients modulating exercises and difficulty levels. We also find that in physical games there are individual differences in patient interaction capabilities and styles, and that modularity allows the therapist to adapt exercises to the individual patient’s capabilities....

  13. Adapting Playware to Rehabilitation Practices

    DEFF Research Database (Denmark)

    Nielsen, Camilla Balslev; Lund, Henrik Hautop

    2011-01-01

    We describe how playware and games may become adaptive to the interaction of the individual user and how therapists use this adaptation property to apply modular interactive tiles in rehabilitation practices that demand highly individualized training. Therapists may use the interactive modular...... patients modulating exercises and difficulty levels. We also find that in physical games there are individual differences in patient interaction capabilities and styles, and that modularity allows the therapist to adapt exercises to the individual patient’s capabilities....

  14. Soft Pneumatic Actuators for Rehabilitation

    OpenAIRE

    Guido Belforte; Gabriella Eula; Alexandre Ivanov; Silvia Sirolli

    2014-01-01

    Pneumatic artificial muscles are pneumatic devices with practical and various applications as common actuators. They, as human muscles, work in agonistic-antagonistic way, giving a traction force only when supplied by compressed air. The state of the art of soft pneumatic actuators is here analyzed: different models of pneumatic muscles are considered and evolution lines are presented. Then, the use of Pneumatic Muscles (PAM) in rehabilitation apparatus is described and the general characteri...

  15. Clinical Holistic Medicine: Holistic Rehabilitation

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2005-01-01

    Full Text Available Quality of life, health, and ability are often lost at the same time and most often in one decaying existential movement over 5 or 10 years. This “lost life” is mostly too slow to be felt as life threatening, but once awakened to reality, it provokes the deepest of fears in patients: the fear of death itself and destruction of our mere existence. The horrible experience of having “lost life””, often without even noticing how it happened, can be turned into a strong motivation for improvement. Personal development is about finding the life deeply hidden within in order to induce revitalization and rehabilitation. Rehabilitation is about philosophy of life with the integration of the repressed painful feelings and emotions from the past and the letting go of the associated negative beliefs and decisions. The holistic medical toolbox builds on existential theories (the quality of life theories, the life mission theory, the theory of character, the theory of talent, and the holistic process theory and seems to have the power to rehabilitate the purpose of life, the character of the person, and fundamental existential dimensions of man: (1 love; (2 strength of mind, feelings, and body; and 3 joy, gender, and sexuality; allowing the person once again to express and realize his talents and full potential. The principles of rehabilitation are not very different from other healing, but the task is often more demanding for the holistic physician as the motivation and resources often are very low and the treatment can take many years.

  16. Interdisciplinary rehabilitation in Parkinson's disease.

    Science.gov (United States)

    Iansek, R

    1999-01-01

    The use of a multidisciplinary team in managing end-stage PD was described, emphasizing the use of a specifically designed rehabilitation program based on current concepts of basal ganglia function and malfunction in PD as a means of unifying the team members, providing them with a common knowledge base and enabling the team members to speak to the patients with a common language. This approach has enabled the multidisciplinary team to function in an interdisciplinary and intradisciplinary manner.

  17. Rehabilitation of Delavan Lake, Wisconsin

    Science.gov (United States)

    Robertson, Dale M.; Goddard, Gerald L.; Helsel, D.R.; MacKinnon, Kevin L.

    2009-01-01

    A comprehensive rehabilitation plan was developed and implemented to shift Delavan Lake, Wisconsin, from a hypereutrophic to a mesotrophic condition. The plan was threefold: (1) reduce external phosphorus (P) loading by applying Best Management Practices in the watershed, enhance an existing wetland, and short-circuit the inflows through the lake, (2) reduce internal P loading by treating the sediments with alum and removing carp, and (3) rehabilitate the fishery by removing carp and bigmouth buffalo and adding piscivores (biomanipulation). The first and second parts of the plan met with only limited success. With only minor reductions in internal and external P loading, P concentrations in the lake returned to near pre-treatment concentrations. The intensive biomanipulation and resulting trophic cascade (increased piscivores, decreased planktivores, increased large zooplankton populations, and reduced phytoplankton populations) eliminated most of the original problems in the lake (blue-green algal blooms and limited water clarity). However, now there is extensive macrophyte growth and abundant filamentous algae. Without significantly reducing the sources of the problems (high P loading) in Delavan Lake, the increased water clarity may not last. With an improved understanding of the individual components of this rehabilitation program, better future management plans can be developed for Delavan Lake and other lakes and reservoirs with similar eutrophication problems.

  18. Rehabilitation of the burn patient

    Directory of Open Access Journals (Sweden)

    Procter Fiona

    2010-10-01

    Full Text Available Rehabilitation is an essential and integral part of burn treatment. It is not something which takes place following healing of skin grafts or discharge from hospital; instead it is a process that starts from day one of admission and continues for months and sometimes years after the initial event. Burns rehabilitation is not something which is completed by one or two individuals but should be a team approach, incorporating the patient and when appropriate, their family. The term ′Burns Rehabilitation′ incorporates the physical, psychological and social aspects of care and it is common for burn patients to experience difficulties in one or all of these areas following a burn injury. Burns can leave a patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. The aims of burn rehabilitation are to minimise the adverse effects caused by the injury in terms of maintaining range of movement, minimising contracture development and impact of scarring, maximising functional ability, maximising psychological wellbeing, maximising social integration

  19. Forest opening with a secondary road network

    Directory of Open Access Journals (Sweden)

    Danilović Milorad

    2013-01-01

    Full Text Available This paper presents the results of an analysis of the position and density of a secondary road network in the group-selection management system. The research was conducted in the economic unit Prosara in the north west of the Republic of Srpska. The network of skid roads in the analyzed sections was recorded using the GPS devices Garmin GPS 60 and Garmin Map 62st, and the analysis software package used was ESRI ArcInfo 10.1. Adhering to the general guidelines, the slope of skid roads was analyzed within six predefined intervals: 0-12 %, 12-16 %, 16-20 %, 20-30 %, 30-40 % and over 40%. Relative openness with a secondary road network was determined for a maximum distance between the skid roads of 130m and it ranged from 82.62 % to 96.37 %. Such openness was classified as very good and excellent. Together with all factors related to stand and terrain characteristics, it appears that in all the compartments, the density of the secondary network of skid roads is adequate for the application of a skidder with a winch, without extending above the maximum length of the winch rope. Out of the total length of analyzed skid roads, 24% is within an appropriate slope interval for a planned conversion to truck roads, whereas 37 % is the maximum slope from the ecological point of view. The average terrain slope for the whole analyzed area is 26.4%. Such moderately sloping terrain is suitable for the construction of skid roads with low investment and small environmental impact. Due to their specific configuration, the main skid roads were designed along the ridge, while the secondary and tertiary skid roads most often separated from them at the maximum slope, forming an irregular fish bone shape.

  20. Scaling roads and wildlife: The Cinderella principle

    Science.gov (United States)

    Bissonette, J.A.

    2002-01-01

    It is clear that a reduction in both direct and indirect effects of roads and road networks must be the goal of management agencies. However, increased permeability of roaded landscapes can only be achieved by up-front planning and subsequent mitigative actions. The key is to understand that roads must be made permeable to the movement of animals. More profoundly, ecosystem services, i.e., clean water, clean air, uncontaminated soil, natural landscapes, recreation opportunities, abundant wildlife, and life sustaining ecological processes must not be seriously impacted. In other words, quality of life as measured by ecosystem services should be a major component of the planning process when roads are constructed or improved. Mitigative structures exist to increase permeability of roads. Wildlife overpasses and underpasses, often referred to as ecoducts or green bridges, with associated structures to enable larger animals to exit the road right of way, e.g., earthen escape ramps (BISSONETTE and HAMMER, 2001), various culvert designs for smaller animals including badger pipes and amphibian and reptile tunnels, and fish ladders are but a small sampling of the structures already in place around the world. What is needed is attention to the big picture. Landscapes need to be reconnected and made more permeable. Responsible agencies and organizations need to be aggressive about promoting mitigations and a conservation ethic into road planning. Only with a broad based effort between a concerned public, a database to work from, and a willingness of responsible agencies, will the now very large virtual footprint of roads and road networks be reduced to more closely approximate the physical footprint. By embracing the Cinderella Principle of making the virtual shoe fit more closely the actual physical footprint of roads, we will be able to achieve a closer connection with ecological harmony with its resultant effect of abundant wildlife.